Others titles
- CMS Payment and Value of Care
- Payment and Value of Care by State
- 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 by State
This dataset includes state-level data for the payment measures associated with a 30-day episode of care for heart attack, heart failure, and pneumonia patients.
Get The Data
- ResearchNon-Commercial, Share-Alike, Attribution Free Forever
- CommercialCommercial Use, Remix & Adapt, White Label Log in to download
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 in the downloadable databases for the heart attack, heart failure, and pneumonia payment measures. You can see 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 | 2024-01-17 |
Version | 2024-01-17 |
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 State, CMS Value of Care and Payment Measures |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
State_Abbreviation | Two-letter state abbreviation in the mailing address of the hospital. This includes information on hospitals in: | string | required : 1 |
Measure_Name | The name of the Payment Measure . | string | required : 1 |
Measure_ID | The identification (ID) of the Payment measures. | string | required : 1 |
Number_Less_Than_National_Payment | Number of payments less than average national payment. | integer | level : Ratio |
Number_Same_As_National_Payment | Number of payments same as average national payment. | integer | level : Ratio |
Number_Greater_Than_National_Payment | Number of payments greater than average national payment. | integer | level : Ratio |
Number_of_Hospitals_Too_Few | If a hospital has fewer than eligible cases for a measure, CMS assigns the hospital to a separate category: “The number of cases is too small to reliably tell how well the hospital is performing for a particular measure | integer | level : Ratio |
Footnote_Code | Footnote code refers to the code for an additional piece of information given separately for the compiled data. | integer | - |
Footnote_Description | Footnote describes an additional piece of information given separately for the compiled data. | string | - |
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
State Abbreviation | Measure Name | Measure ID | Number Less Than National Payment | Number Same As National Payment | Number Greater Than National Payment | Number of Hospitals Too Few | Footnote Code | Footnote Description | Measure Start Date | Measure End Date |
AK | Payment for heart attack patients | PAYM_30_AMI | 1 | 4 | 0 | 12 | 2019-07-01 | 2022-06-30 | ||
AK | Payment for heart failure patients | PAYM_30_HF | 4 | 3 | 0 | 13 | 2019-07-01 | 2022-06-30 | ||
AK | Payment for pneumonia patients | PAYM_30_PN | 7 | 4 | 0 | 10 | 2019-07-01 | 2022-06-30 | ||
AK | Payment for hip/knee replacement patients | PAYM_90_HIP_KNEE | 5 | 3 | 0 | 2 | 2019-04-01 | 2022-03-31 | ||
AL | Payment for heart attack patients | PAYM_30_AMI | 1 | 25 | 2 | 45 | 2019-07-01 | 2022-06-30 | ||
AL | Payment for heart failure patients | PAYM_30_HF | 4 | 49 | 4 | 27 | 2019-07-01 | 2022-06-30 | ||
AL | Payment for pneumonia patients | PAYM_30_PN | 11 | 48 | 5 | 22 | 2019-07-01 | 2022-06-30 | ||
AL | Payment for hip/knee replacement patients | PAYM_90_HIP_KNEE | 10 | 21 | 3 | 12 | 2019-04-01 | 2022-03-31 | ||
AR | Payment for heart attack patients | PAYM_30_AMI | 0 | 21 | 4 | 34 | 2019-07-01 | 2022-06-30 | ||
AR | Payment for heart failure patients | PAYM_30_HF | 2 | 37 | 6 | 27 | 2019-07-01 | 2022-06-30 |