From Health Affairs Today <[email protected]>
Subject Refinements Needed for Value-Based Programs
Date July 31, 2023 8:01 PM
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Forefront: North Carolina's Bipartisan Path To Medicaid Expansion
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Monday, July 31, 2023 | The Latest Research, Commentary, And News From
Health Affairs

Dear John,

Today's newsletter features Charles Kahn III and colleagues on hospital
value-based payment programs that were created to incentivize the
delivery of quality care.

CMS Hospital Value-Based Programs

In their paper in the July issue of Health Affairs, Charles Kahn III and
coauthors examine the three hospital value-based payment programs
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the Centers for Medicare and Medicaid Services (CMS): the Hospital
Readmissions Reduction Program, the Hospital Value-Based Purchasing
Program, and the Hospital-Acquired Condition Reduction Program.

Khan and coauthors analyze these three programs, which are intended to
incentivize the delivery of quality care within hospitals, to determine
how penalties relate to patient and community health risk factors.

They find "statistically significant positive relationships between
hospital penalties and several factors that affect hospital performance
but that hospitals cannot control-namely, medical
complexity...uncompensated care, and the portion of hospital catchment
area populations who live alone."

Ultimately, Khan and coauthors conclude that hospitals could be
penalized for certain "health equity risk factors" at the community
level.

**Read**
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Building On CMS's Accountable Care Vision To Improve Care For Medicare
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North Carolina's Bipartisan Path To Medicaid Expansion: The Role Of
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