Hospital Value Based Purchasing Program Actual Payment Adjustment

$179 / year

The Hospital Value-Based Purchasing (VBP) Program is a Centers for Medicare & Medicaid Services (CMS) initiative that rewards acute-care hospitals with incentive payments for the quality of care they provide to Medicare beneficiaries. It contains the actual payment adjustment factors under the Hospital VBP Program for FY 2019 & FY 2020.

Complexity

This dataset displays the actual payment adjustment factors to a precision of 9 places to the right of the decimal; whereas, the hospital Percentage Payment Summary Reports display a precision of 10 places to the right of the decimal. Due to the use of a different precision, the last places may vary due to rounding. Hospitals eligible for the Hospital VBP Program will have their payments adjusted in accordance to the full precision of 10 places to the right of the decimal as displayed on their Percentage Payment Summary Reports.
Note:
The value-based incentive payment adjustment factors in this file are the actual payment adjustment factors that are used to adjust payments under the Hospital Value-Based Purchasing (VBP) Program for FY 2019. These actual factors are based on the finalized baseline and performance period for FY 2019 and will be used to adjust base operating DRG payments to eligible hospitals for discharges occurring in FY 2019. The slope of the linear exchange function used to calculate these factors was 2.8442846022, and the estimated amount available for value-based incentive payments to hospitals for FY 2017 is $1.9 billion. The factors, posted previously with the IPPS Final Rule, were proxy value-based incentive payment adjustment factors, calculated using historical baseline and performance periods.

Date Created

2015

Last Modified

2019-10-31

Version

2019-10-31

Update Frequency

Irregular

Temporal Coverage

N/A

Spatial Coverage

United States

Source

John Snow Labs; Centers for Medicare & Medicaid Services;

Source License URL

Source License Requirements

N/A

Source Citation

N/A

Keywords

Value-Based Purchasing, VBP, Hospital Value Based Purchasing, Hospital Value Based Purchasing Program, VBP Adjustment Factors

Other Titles

Hospital Value-Based Purchasing Program Adjustment Factor, Hospital VBP Program Fund, Hospital VBP Program, Value-Based Purchasing Program, Value-Based Purchasing Program FY 2019, Value-Based Purchasing Program FY 2020

NameDescriptionTypeConstraints
YearYear for Hospital Value Based Purchasing actual adjustment.number-
CMS_Certification_NumberCMS Certification Numberintegerlevel : Nominal
Hospital_VBP_Adjustment_FactorActual Hospital Value Based Purchasing Adjustment Factor for FY 2019 & FY 2020numberlevel : Ratio
YearCMS Certification NumberHospital VBP Adjustment Factor
2019100010.9927299999999999
2019100050.99297
2019100060.9917299999999999
2019100070.9922
2019100110.99505
2019100120.99441
2019100160.99692
2019100190.9993200000000001
2019100210.9965
2019100221.01868