Payment by State

$179 / year

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.

Complexity

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.

Date Created

2014-11-21

Last Modified

2016-05-04

Version

2016-05-04

Update Frequency

Annual

Temporal Coverage

N/A

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

NameDescriptionTypeConstraints
State_AbbreviationTwo-letter state abbreviation in the mailing address of the hospital. This includes information on hospitals in:stringrequired : 1
Measure_NameThe name of the Payment Measure .stringrequired : 1
Measure_IDThe identification (ID) of the Payment measures.stringrequired : 1
Number_Less_Than_National_PaymentNumber of payments less than average national payment.integerlevel : Ratio
Number_Same_As_National_PaymentNumber of payments same as average national payment.integerlevel : Ratio
Number_Greater_Than_National_PaymentNumber of payments greater than average national payment.integerlevel : Ratio
Number_of_Hospitals_Too_FewIf 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 measureintegerlevel : Ratio
State AbbreviationMeasure NameMeasure IDNumber Less Than National PaymentNumber Same As National PaymentNumber Greater Than National PaymentNumber of Hospitals Too FewFootnote CodeFootnote DescriptionMeasure Start DateMeasure End Date
AKPAYM_30_AMIPayment for heart attack patients050132015-07-012018-06-30
AKPAYM_30_HFPayment for heart failure patients540142015-07-012018-06-30
AKPAYM_30_PNPayment for pneumonia patients104182015-07-012018-06-30
AKPAYM_90_HIP_KNEEPayment for hip/knee replacement patients80022015-04-012018-03-31
ALPAYM_30_AMIPayment for heart attack patients3322472015-07-012018-06-30
ALPAYM_30_HFPayment for heart failure patients15535142015-07-012018-06-30
ALPAYM_30_PNPayment for pneumonia patients3341762015-07-012018-06-30
ALPAYM_90_HIP_KNEEPayment for hip/knee replacement patients8171862015-04-012018-03-31
ARPAYM_30_AMIPayment for heart attack patients0206392015-07-012018-06-30
ARPAYM_30_HFPayment for heart failure patients1499132015-07-012018-06-30