Others titles
- CMS Payment and Value of Care
- Payment and Value of Care by Hospital
- CMS Value of Care and Payment Measures
Keywords
- CMS Payment Measures
- CMS Value of Care Payments
- Medicare Spending Per Beneficiary
- Medicare Beneficiary Payments
- Hospital Compare Data
- Quality of Care Information
- Quality Assurance Data
- Hospital Survey
- Hospital Experience Information
Payment and Value of Care by Hospital
This dataset includes provider data for the payment measures and value of care displays associated with a 30-day episode of care for heart attack, heart failure, and pneumonia patients.
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Description
The Medicare Spending Per Beneficiary (MSPB-1) Measure assesses Medicare Part A and Part B payments for services provided to a Medicare beneficiary during a spending-per-beneficiary episode that spans from three days prior to an inpatient hospital admission through 30 days after discharge. The payments included in this measure are price-standardized and risk-adjusted.
The payment measures for heart attack, heart failure, and pneumonia include the payments made for Medicare beneficiaries who are 65 years and older. The measures add up payments made for care and supplies starting the day the patient enters the hospital and for the next 30 days. The measures are meant to reflect differences in the services and supplies provided to patients.
Hospital results are provided for the heart attack, heart failure, and pneumonia payment measures. It can be viewed whether the payments made for patients treated at a particular hospital is less than, no different than, or greater than the national average payment. For some hospitals, the number of cases is too small to reliably compare their results to the national average payment.
About this Dataset
Data Info
Date Created | 2014-11-21 |
---|---|
Last Modified | 2024-03-29 |
Version | 2024-03-29 |
Update Frequency |
Annual |
Temporal Coverage |
2015-2024 |
Spatial Coverage |
United States |
Source | John Snow Labs; Centers for Medicare & Medicaid Services, Hospital Compare Data; |
Source License URL | |
Source License Requirements |
N/A |
Source Citation |
N/A |
Keywords | CMS Payment Measures, CMS Value of Care Payments, Medicare Spending Per Beneficiary, Medicare Beneficiary Payments, Hospital Compare Data, Quality of Care Information, Quality Assurance Data, Hospital Survey, Hospital Experience Information |
Other Titles | CMS Payment and Value of Care, Payment and Value of Care by Hospital, CMS Value of Care and Payment Measures |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
Provider_ID | CMS certification number (CCN). Identification number of the hospital within the CMS dataset. | string | required : 1 |
Hospital_Name | Name of the hospital (also referred to as the provider) | string | required : 1 |
Address | Main street address information of the hospital | string | required : 1 |
City | Mailing city. The city in the main street address of the hospital. | string | required : 1 |
State_Abbreviation | Two-letter state abbreviation in the mailing address of the hospital. This includes information on hospitals in: | string | required : 1 |
Zip_Code | 5 digit postal zip code in the mailing address of the hospital. | integer | level : Nominalrequired : 1 |
County | Mailing county of the hospital. | string | - |
Phone_Number | Main phone number of the hospital. 3-digit area code plus 7-digit telephone number. | string | required : 1 |
Payment_Measure_Name | The name of the Payment Measure . | string | required : 1 |
Payment_Measure_ID | The identification (ID) of the Payment measures. | string | required : 1 |
Payment_Category | The category of the applied measure. | string | - |
Denominator | The number of admissions with a complication based on the nation’s performance with that hospital’s case mix. | integer | level : Ratio |
Payment_In_USD | The amount of money paid in US dollars. | number | - |
Lower_Estimate_In_USD | Lower interval estimate of the payment in US Dollars. | number | - |
Higher_Estimate_In_USD | Lower interval estimate of the payment in US Dollars. | number | - |
Payment_Footnote | Footnote describes an additional piece of information given separately for the compiled data. | string | - |
Value_of_Care_Display_Name | The name of the Value of Care Measure. | string | - |
Value_of_Care_Display_ID | The identification (ID) of the Value of Care Measure. | string | - |
Value_of_Care_Category | The category of the applied measure. | string | - |
Value_of_Care_Footnote | The footnote of the Value of Care Measure. Footnot code refers to the code for an additional piece of information given separately for the compiled data. | integer | - |
Measure_Start_Date | The first day the data measures were collected. The date format is YYYY-MM-DD. | date | - |
Measure_End_Date | The last day the data measures were collected. The date format is YYYY-MM-DD. | date | - |
Data Preview
Provider ID | Hospital Name | Address | City | State Abbreviation | Zip Code | County | Phone Number | Payment Measure Name | Payment Measure ID | Payment Category | Denominator | Payment In USD | Lower Estimate In USD | Higher Estimate In USD | Payment Footnote | Value of Care Display Name | Value of Care Display ID | Value of Care Category | Value of Care Footnote | Measure Start Date | Measure End Date |
10001 | SOUTHEAST HEALTH MEDICAL CENTER | 1108 ROSS CLARK CIRCLE | DOTHAN | AL | 36301 | HOUSTON | (334) 793-8701 | Payment for heart attack patients | PAYM_30_AMI | No Different Than the National Average Payment | 275 | 26507 | 24434 | 28755 | Value of Care Heart Attack measure | MORT_PAYM_30_AMI | Average Mortality and Average Payment | 2019-07-01 | 2022-06-30 | ||
10001 | SOUTHEAST HEALTH MEDICAL CENTER | 1108 ROSS CLARK CIRCLE | DOTHAN | AL | 36301 | HOUSTON | (334) 793-8701 | Payment for heart failure patients | PAYM_30_HF | No Different Than the National Average Payment | 531 | 19263 | 18254 | 20347 | Value of Care Heart Failure measur | MORT_PAYM_30_HF | Better Mortality and Average Payment | 2019-07-01 | 2022-06-30 | ||
10001 | SOUTHEAST HEALTH MEDICAL CENTER | 1108 ROSS CLARK CIRCLE | DOTHAN | AL | 36301 | HOUSTON | (334) 793-8701 | Payment for pneumonia patients | PAYM_30_PN | No Different Than the National Average Payment | 382 | 21148 | 19901 | 22407 | Value of Care Pneumonia measure | MORT_PAYM_30_PN | Average Mortality and Average Payment | 2019-07-01 | 2022-06-30 | ||
10001 | SOUTHEAST HEALTH MEDICAL CENTER | 1108 ROSS CLARK CIRCLE | DOTHAN | AL | 36301 | HOUSTON | (334) 793-8701 | Payment for hip/knee replacement patients | PAYM_90_HIP_KNEE | No Different Than the National Average Payment | 49 | 22212 | 20025 | 24680 | Value of Care hip/knee replacement | COMP_PAYM_90_HIP_KNEE | Average Complications and Average Payment | 2019-04-01 | 2022-03-31 | ||
10005 | MARSHALL MEDICAL CENTERS | 2505 U S HIGHWAY 431 NORTH | BOAZ | AL | 35957 | MARSHALL | (256) 593-8310 | Payment for heart attack patients | PAYM_30_AMI | No Different Than the National Average Payment | 27 | 26566 | 22931 | 30929 | Value of Care Heart Attack measure | MORT_PAYM_30_AMI | Average Mortality and Average Payment | 2019-07-01 | 2022-06-30 | ||
10005 | MARSHALL MEDICAL CENTERS | 2505 U S HIGHWAY 431 NORTH | BOAZ | AL | 35957 | MARSHALL | (256) 593-8310 | Payment for heart failure patients | PAYM_30_HF | No Different Than the National Average Payment | 119 | 16993 | 15340 | 18827 | Value of Care Heart Failure measur | MORT_PAYM_30_HF | Average Mortality and Average Payment | 2019-07-01 | 2022-06-30 | ||
10005 | MARSHALL MEDICAL CENTERS | 2505 U S HIGHWAY 431 NORTH | BOAZ | AL | 35957 | MARSHALL | (256) 593-8310 | Payment for pneumonia patients | PAYM_30_PN | No Different Than the National Average Payment | 272 | 19821 | 18421 | 21252 | Value of Care Pneumonia measure | MORT_PAYM_30_PN | Worse Mortality and Average Payment | 2019-07-01 | 2022-06-30 | ||
10005 | MARSHALL MEDICAL CENTERS | 2505 U S HIGHWAY 431 NORTH | BOAZ | AL | 35957 | MARSHALL | (256) 593-8310 | Payment for hip/knee replacement patients | PAYM_90_HIP_KNEE | Less Than the National Average Payment | 155 | 18030 | 16987 | 19161 | Value of Care hip/knee replacement | COMP_PAYM_90_HIP_KNEE | Average Complications and Lower Payment | 2019-04-01 | 2022-03-31 | ||
10006 | NORTH ALABAMA MEDICAL CENTER | 1701 VETERANS DRIVE | FLORENCE | AL | 35630 | LAUDERDALE | (256) 629-1000 | Payment for heart attack patients | PAYM_30_AMI | Greater Than the National Average Payment | 246 | 30471 | 27909 | 33278 | Value of Care Heart Attack measure | MORT_PAYM_30_AMI | Worse Mortality and Higher Payment | 2019-07-01 | 2022-06-30 | ||
10006 | NORTH ALABAMA MEDICAL CENTER | 1701 VETERANS DRIVE | FLORENCE | AL | 35630 | LAUDERDALE | (256) 629-1000 | Payment for heart failure patients | PAYM_30_HF | No Different Than the National Average Payment | 371 | 19276 | 18068 | 20602 | Value of Care Heart Failure measur | MORT_PAYM_30_HF | Average Mortality and Average Payment | 2019-07-01 | 2022-06-30 |