RevCycle Intelligence December 28, 2016
More safety-net hospitals faced penalties in Medicare value-based reimbursement programs, leading ASPE to advise quality measure and payment adjustment changes.
Safety-net providers received more financial penalties under Medicare value-based reimbursement programs because the hospitals treated more beneficiaries with social risk factors, such as dual eligibility, low income, race, ethnicity, and rural area residency, the Department of Health and Human Services (HHS) Office of the Assistant Secretary for Planning and Evaluation (ASPE) recently reported to Congress.
To ensure safety-net providers are not unfairly penalized, ASPE suggested that Medicare value-based reimbursement programs account for social risk by modifying financial incentives and quality measures.
“There are three key strategies that should be considered as Medicare aims to administer fair, balanced programs that promote...
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