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| LEADER |
01361nam a2200181Ia 4500 |
| 001 |
10.1002-soej.12375 |
| 008 |
220511s2019 CNT 000 0 und d |
| 020 |
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|a 00384038 (ISSN)
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| 245 |
1 |
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|a So Many Hospitals, So Little Information: How Hospital Value-Based Purchasing Is a Game of Chance
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| 260 |
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|b Wiley Blackwell
|c 2019
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| 856 |
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|z View Fulltext in Publisher
|u https://doi.org/10.1002/soej.12375
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| 520 |
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|a As part of the Patient Protection and Affordable Care Act, participating hospitals have part of their Medicare reimbursements withheld and then redistributed based on quality performance. The Hospital Value-Based Purchasing reimbursement plan relies partly on ordinal rankings of hospitals to determine how money is distributed. We analyze the quality metric score distributions that underlie payment redistribution and show that there is not enough information to reliably differentiate hospitals from one another near the program point cutoffs, and conclude that a large part of the payment formula is driven by sampling variability rather than true quality information. An alternative plan for rewarding hospitals is developed. © 2019 by the Southern Economic Association
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| 650 |
0 |
4 |
|a H51
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| 650 |
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|a I18
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| 700 |
1 |
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|a Friedson, A.I.
|e author
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| 700 |
1 |
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|a Horrace, W.C.
|e author
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| 700 |
1 |
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|a Marier, A.F.
|e author
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| 773 |
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|t Southern Economic Journal
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