Questions on Value-Based Purchasing Programs

CMSs Value-Based Purchasing (VBP) Programs.
Hospital VBP
Almost all acute care hospitals are in the program
Affects 1% of payment in initial year for all admissions, increasing to 2% in October 2017
Current measures include process of care, patient experience, and outcomes
Rewards both achievement and improvement
First performance period ended March 31, 2012; will affect payment beginning October 1, 2012
End-Stage Renal Disease Bundled-Payment and Quality Incentive Program (QIP)
Bundled-payment and quality incentive program for dialysis facilities
QIP affects 2% of payment
Current measures include outcomes, process of care, safety measures, and a patient-experience
reporting measure
Rewards both achievement and improvement
First performance period ended 2010; began affecting payment January 1, 2012
Physician Value-Based Payment Modifier
Physician payments adjusted up or down on the basis of performance on quality and cost metrics
First performance period in 2013; will begin affecting payment in 2015
Some physicians eligible initially; expanding to apply to all physicians by 2017
Additional program details being proposed this year