Early Performance of Hospital Value-based Purchasing Program in Medicare: A Systematic Review

Medical Care
Young-Rock HongKea Turner

Abstract

Under the Affordable Care Act, the Centers for Medicare and Medicaid Services has greatly expanded inpatient fee-for-value programs including the Hospital Value-based Purchasing (HVBP) program. Existing evidence from the HVBP program is mixed. There is a need for a systematic review of the HVBP program to inform discussions on how to improve the program's effectiveness. To review and summarize studies that evaluated the HVBP program's impact on clinical processes, patient satisfaction, costs and outcomes, or assessed hospital characteristics associated with performance on the program. We searched the MEDLINE/PubMed, Scopus, ProQuest database for literature published between January 2013 and July 2019 using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. Of 988 studies reviewed, 33 studies that met the selection criteria were included. A small group of studies (n=7) evaluated the impact of the HVBP program, and no impact on processes or patient outcomes was reported. None of the included studies evaluated the effect of HVBP program on health care costs. Other studies (n=28) evaluated the hospital characteristics associated with HVBP performance, suggesting that safety-net hospitals reportedly p...Continue Reading

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Citations

Jan 14, 2021·Health Services & Outcomes Research Methodology·Mary DooleyKit N Simpson
Mar 18, 2021·Health Services Management Research : an Official Journal of the Association of University Programs in Health Administration·Kate Jiayi Li, Mona Al-Amin
Aug 21, 2021·Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen·Diana Pacheco BarzalloArmin Gemperli

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Software Mentioned

Scopus
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