RevCycle Intelligence January 9, 2024
Victoria Bailey

Black adults with pneumonia faced widening gaps in mortality at hospitals participating in the Value-Based Purchasing Program, highlighting racial care disparities.

Thirty-day mortality rates were higher for acute myocardial infarction and pneumonia at hospitals with higher shares of Black patients, suggesting that Medicare’s Hospital Value-Based Purchasing (VBP) Program may exacerbate racial care disparities.

Black adults in the United States tend to face worse health outcomes for acute medical conditions compared to White adults. Care delivered to Black adults is concentrated at hospitals that often lack resources and have rocky finances, partly due to structural racism.

The VBP program financially rewards or penalizes hospitals based on 30-day mortality rates for certain clinical conditions. While intended to improve quality of care, the...

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Topics: Equity/SDOH, Healthcare System, Insurance, Medicare, Patient / Consumer, Payment Models, Provider, Value Based
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