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.