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Related Experiment Video

Updated: Feb 24, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
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Moneyball in Medicare.

Edward C Norton1, Jun Li2, Anup Das2

  • 1University of Michigan, United States; NBER, United States.

Journal of Health Economics
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Summary
This summary is machine-generated.

The Hospital Value-based Purchasing Program (HVBP) links Medicare payments to care quality and costs. Hospitals improve performance where financial incentives are highest, with integrated facilities responding more significantly.

Keywords:
IncentivesIntegrated careMedicarePay-for-performanceValue-based purchasing

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Area of Science:

  • Health Economics
  • Healthcare Policy
  • Hospital Management

Background:

  • US policymakers prioritize value-based care, with the Hospital Value-based Purchasing Program (HVBP) as a key initiative.
  • HVBP incentivizes hospitals based on quality and cost, influencing integration with post-acute care providers.

Purpose of the Study:

  • To estimate the magnitude of marginal future reimbursement per patient across HVBP quality and performance measures.
  • To analyze how these financial incentives differ across hospital types, including integrated and safety-net hospitals.

Main Methods:

  • Analysis of patient-level data to estimate marginal future reimbursement.
  • Comparative analysis of incentive structures and hospital responses based on integration status.

Main Results:

  • Hospitals demonstrated performance improvements in areas with the highest marginal incentives.
  • Integrated hospitals showed a greater response to HVBP incentives compared to non-integrated hospitals.

Conclusions:

  • Financial incentives within HVBP directly influence hospital performance improvements.
  • Hospital integration status modifies the response to value-based purchasing programs, highlighting the importance of strategic alignment.