The MedPAC Blog

  • The Hospital Value Incentive Program: Measuring and rewarding meaningful hospital quality

    by MedPAC Staff | Jan 30, 2019
    In January 2019, the Commission recommended the Congress replace the four current hospital quality payment programs with a single alternative program—the Hospital Value Incentive Program (HVIP). The HVIP encourages the delivery of better-quality hospital care for beneficiaries, catalyzes change in the delivery system, considers differences in providers’ patient populations, and reduces provider burden.
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  • The Hospital Readmissions Reduction Program has succeeded for beneficiaries and the Medicare program

    by MedPAC Staff | Jun 15, 2018
    The Hospital Readmissions Reduction Program (HRRP) contributed to declines in readmissions but has not caused material increases in outpatient observation stays or emergency department visits, nor has the HRRP had a net adverse effect on mortality.
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  • Data book highlight: Rates of low-value service use and spending in Medicare

    by MedPAC Staff | Aug 23, 2016
    On Friday, MedPAC released its July 2016 data book. The data book is an annual MedPAC publication filled with charts and tables presenting much of the information from our March report, plus more, in a convenient and accessible reference guide. In this post, we’re highlighting two charts (5-7 and 5-8) about low-value care that can be found in this year’s edition.
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  • Use of low-value care in Medicare is substantial

    by MedPAC Staff | May 21, 2015
    The issue of wasteful or “low-value” health care has attracted a lot of attention in the policy community because it represents an opportunity to reduce health care spending while maintaining or even improving quality for patients. The Commission has been working on ways to measure the incidence of low-value care within Medicare. The most recent iteration of this work, which was presented at our April meeting [link to presentation], contributes to the evidence that Medicare beneficiaries are receiving a significant amount of low-value care.
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  • The hospital readmission penalty: How well is it working?

    by MedPAC Staff | Mar 24, 2015
    The hospital readmission reduction program (HRRP), established under the Patient Protection and Affordable Care Act of 2010, has helped to reduce hospital readmissions. Since the introduction of the HRRP, readmission rates have fallen for Medicare beneficiaries across all types of hospitals, including those seeing higher shares of poor patients.
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  • Comment Letter on Quality Measurement in Medicare

    by MedPAC Staff | Jan 13, 2015
    Today MedPAC posted a comment letter to CMS on the list of Medicare quality measures under consideration for use in Medicare’s quality reporting or value-based purchasing programs. This year’s “list of measures under consideration” is a 329-page document listing hundreds of quality and resource use measures. Under the statute, CMS may consider including any of these measures during upcoming rule-making for its quality program. The list does not include the dozens of measures already adopted for Medicare’s quality programs, only potential new measures.
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