References
- Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the Medicare fee-for-service program. N Engl J Med. 2009;360(14):1418–1428. doi:10.1056/NEJMsa0803563
- McIlvennan CK, Eapen ZJ, Allen LA. Hospital readmissions reduction program. Circulation. 2015;131(20):1796–1803. doi:10.1161/CIRCULATIONAHA.114.010270
- Weiss AJ, Jiang HJ. Overview of clinical conditions with frequent and costly hospital readmissions by payer, 2018: statistical brief# 278. 2021.
- Bailey MK, Weiss AJ, Barrett ML, Jiang HJ. Characteristics of 30-day all-cause hospital readmissions, 2010–2016: statistical Brief# 248; 2019. Available from: https://www.hcup-us.ahrq.gov/reports/statbriefs/sb248-Hospital-Readmissions-2010-2016.jsp. Accessed April 28, 2022.
- Keehan SP, Cuckler GA, Poisal JA, et al. National health expenditure projections, 2019–28: expected rebound in prices drives rising spending growth: national health expenditure projections for the period 2019–2028. Health Aff. 2020;39(4):704–714. doi:10.1377/hlthaff.2020.00094
- Hartman M, Martin AB, Benson J, Catlin A; National Health Expenditure Accounts Team. National health care spending in 2018: growth driven by accelerations in medicare and private insurance spending: US health care spending increased 4.6 percent to reach $3.6 trillion in 2018, a faster growth rate than that of 4.2 percent in 2017 but the same rate as in 2016. Health Aff. 2020;39(1):8–17. doi:10.1377/hlthaff.2019.01451
- Nuckols TK, Keeler E, Morton S, et al. Economic evaluation of quality improvement interventions designed to prevent hospital readmission: a systematic review and meta-analysis. JAMA Intern Med. 2017;177(7):975–985. doi:10.1001/jamainternmed.2017.1136
- Fingar K, Washington R. Trends in hospital readmissions for four high-volume conditions, 2009–2013: statistical brief# 196. 2016.
- Patient Protection & Affordable Care Act. Patient protection and affordable care act. Public Law. 2010;111(48):759–762.
- James J. Pay-for-performance. Health Aff. 2012;34(8):1–6.
- American Hospital Association. Hospital value based purchasing; 2021a. Available from: https://www.aha.org/hospital-value-based-purchasing/home. Accessed April 28, 2022.
- Blumenthal D, Jena AB. Hospital value‐based purchasing. J Hosp Med. 2013;8(5):271–277.
- Gugliuzza M, Bryant B. Where’s my report? Everything you want to know about the FY 2022 hospital VBP program percentage payment summary report [presentation transcript]. Hospital Value Based Purchasing Program; 2021. Available from: https://www.qualityreportingcenter.com/en/inpatient-quality-reporting-programs/hospital-inpatient-quality-reporting-iqr-program/2021-events/vbp12121/. Accessed April 28, 2022.
- Morse S. CMS will pay $1.9 billion to hospitals in value-based payments for inpatient care; 2019. Available from: https://www.healthcarefinancenews.com/news/cms-will-pay-19-billion-hospitals-value-based-payments-inpatient-care. Accessed April 28, 2022.
- American Hospital Association. Hospital value based purchasing; 2021b. Available from: https://www.aha.org/hospital-readmission-reduction-program/home. Accessed April 28, 2022.
- Kahn CN, Ault T, Potetz L, Walke T, Chambers JH, Burch S. Assessing Medicare’s hospital pay-for-performance programs and whether they are achieving their goals. Health Aff. 2015;34(8):1281–1288. doi:10.1377/hlthaff.2015.0158
- Borah BJ, Rock MG, Wood DL, Roellinger DL, Johnson MG, Naessens JM. Association between value-based purchasing score and hospital characteristics. BMC Health Serv Res. 2012;12(1):1–12. doi:10.1186/1472-6963-12-464
- Ramirez AG, Tracci MC, Stukenborg GJ, Turrentine FE, Kozower BD, Jones RS. Physician-owned surgical hospitals outperform other hospitals in medicare value-based purchasing program. J Am Coll Surg. 2016;223(4):559–567. doi:10.1016/j.jamcollsurg.2016.07.014
- Ryan AM, Krinsky S, Maurer KA, Dimick JB. Changes in hospital quality associated with hospital value-based purchasing. N Engl J Med. 2017;376(24):2358–2366. doi:10.1056/NEJMsa1613412
- Bai G, Anderson GF. A more detailed understanding of factors associated with hospital profitability. Health Aff. 2016;35(5):889–897. doi:10.1377/hlthaff.2015.1193
- Hospital Financial Management Association. NFP hospital profitability plummeted in 2020 despite expense mitigation strategies, Moody’s reports; 2021. Available from: https://www.hfma.org/topics/financial-sustainability/article/nfp-hospital-profitability-plummeted-in-2020-despite-expense-mit.html. Accessed April 28, 2022.
- Miller HD. From volume to value: better ways to pay for health care. Health Aff. 2009;28(5):1418–1428. doi:10.1377/hlthaff.28.5.1418
- Garbers Y, Konradt U. The effect of financial incentives on performance: a quantitative review of individual and team‐based financial incentives. J Occup Organ Psychol. 2014;87(1):102–137. doi:10.1111/joop.12039
- Centers for Medicare and Medicaid Services. Hospital value based purchasing program; 2021. Available from: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/Hospital-Value-Based-Purchasing-. Accessed April 28, 2022.
- Mazurenko O, Collum T, Ferdinand A, Menachemi N. Predictors of hospital patient satisfaction as measured by HCAHPS: a systematic review. J Health Care Manag. 2017;62(4):272–283.
- Damberg CL, Sorbero ME, Lovejoy SL, Martsolf GR, Raaen L, Mandel D. Measuring success in health care value-based purchasing programs: findings from an environmental scan, literature review, and expert panel discussions. Rand Health Quart. 2014;4(3):240.
- Figueroa JF, Tsugawa Y, Zheng J, Orav EJ, Jha AK. Association between the value-based purchasing pay for performance program and patient mortality in US hospitals: observational study. BMJ. 2016;2016:353.
- Werner RM, Bradlow ET. Relationship between Medicare’s hospital compare performance measures and mortality rates. JAMA. 2006;296(22):2694–2702. doi:10.1001/jama.296.22.2694
- Haas B, Gomez D, Hemmila MR, Nathens AB. Prevention of complications and successful rescue of patients with serious complications: characteristics of high-performing trauma centers. J Trauma Acute Care Surg. 2011;70(3):575–582. doi:10.1097/TA.0b013e31820e75a9
- Benbassat J, Taragin M. Hospital readmissions as a measure of quality of health care: advantages and limitations. Arch Intern Med. 2000;160(8):1074–1081. doi:10.1001/archinte.160.8.1074
- Chee TT, Ryan AM, Wasfy JH, Borden WB. Current state of value-based purchasing programs. Circulation. 2016;133(22):2197–2205. doi:10.1161/CIRCULATIONAHA.115.010268
- Das A, Norton EC, Miller DC, Ryan AM, Birkmeyer JD, Chen LM. Adding a spending metric to Medicare’s value-based purchasing program rewarded low- quality hospitals. Health Aff. 2016;35(5):898–906. doi:10.1377/hlthaff.2015.1190
- Krumholz HM, Wang K, Lin Z, et al. Hospital-readmission risk—isolating hospital effects from patient effects. N Engl J Med. 2017;377(11):1055–1064. doi:10.1056/NEJMsa1702321
- Morley C, Unwin M, Peterson GM, Stankovich J, Kinsman L. Emergency department crowding: a systematic review of causes, consequences and solutions. PLoS One. 2018;13(8):e0203316. doi:10.1371/journal.pone.0203316
- Shen Y, Lee LH. Improving the wait time to consultation at the emergency department. BMJ Open Qual. 2018;7(1):e000131. doi:10.1136/bmjoq-2017-000131
- Rifkin W. 30-day hospital readmission rate - a flawed but important metric [White Paper], MCG; 2021. Available from: https://info.mcg.com/white-paper-30-day-readmission-rate.html. Accessed April 28, 2022.
- Flodgren G, Eccles MP, Shepperd S, Scott A, Parmelli E, Beyer FR. An overview of reviews evaluating the effectiveness of financial incentives in changing health care professional behaviours and patient outcomes. Cochrane Database Syst Rev. 2011;(7). doi:10.1002/14651858.CD009255
- Doran T, Maurer KA, Ryan AM. Impact of provider incentives on quality and value of health care. Annu Rev Public Health. 2017;38:449–465. doi:10.1146/annurev-publhealth-032315-021457
- Akinleye DD, McNutt LA, Lazariu V, McLaughlin CC. Correlation between hospital finances and quality and safety of patient care. PLoS One. 2019;14(8):e0219124. doi:10.1371/journal.pone.0219124
- Beauvais B, Richter JP, Kim FS, et al. Does patient safety pay? Evaluating the association between surgical care improvement project performance and hospital profitability. J Health Care Manag. 2019;64(3):142–154.
- American Hospital Association. Hospitals face continued financial challenges one year into the COVID-19 pandemic; 2021c. Available from: https://www.aha.org/system/files/media/file/2021/03/hospitals-face-continued-financial-challenges-one-year-into-covid-19-pandemic-fact-sheet.pdf. Accessed April 28, 2022.
- McCambridge J, Witton J, Elbourne DR. Systematic review of the Hawthorne effect: new concepts are needed to study research participation effects. J Clin Epidemiol. 2014;67(3):267–277. doi:10.1016/j.jclinepi.2013.08.015
- Hibbard JH, Stockard J, Tusler M. Does publicizing hospital performance stimulate quality improvement efforts? Health Aff. 2003;22(2):84–94. doi:10.1377/hlthaff.22.2.84
- Wadhera RK, Yeh RW, Maddox KEJ. The hospital readmissions reduction program—time for a reboot. N Engl J Med. 2019;380(24):2289. doi:10.1056/NEJMp1901225