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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

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High-Performing and Low-Performing Hospitals Across Medicare Value-Based Payment Programs.

Dhruv Khullar¹, Wei Tian², Rishi K Wadhera²

¹Division of Health Policy and Economics, Department of Population Health Sciences, Weill Cornell Medical College, New York, New York.

JAMA Health Forum

|August 17, 2022

Summary

This study analyzed hospital performance in Medicare value-based programs for fiscal year 2020. It identified the number and traits of hospitals excelling or struggling across these key healthcare initiatives.

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Area of Science:

Health Services Research
Healthcare Policy
Hospital Management

Background:

Medicare value-based programs incentivize quality care and cost efficiency.
Understanding hospital performance across these programs is crucial for healthcare policy.
Fiscal year 2020 data provides a recent snapshot of hospital performance.

Purpose of the Study:

To determine the number of hospitals performing well or poorly in three Medicare value-based programs.
To characterize the hospitals that demonstrated high or low performance.
To analyze performance patterns in fiscal year 2020.

Main Methods:

Cross-sectional study design.
Analysis of hospital performance data from three Medicare value-based programs.
Categorization of hospitals into 'performing well' and 'performing poorly' groups.

Main Results:

Quantification of hospitals in high-performing and low-performing categories.
Identification of key characteristics differentiating high and low performers.
Insights into the distribution of performance across different hospital types.

Conclusions:

Variability exists in hospital performance across Medicare value-based programs.
Specific hospital characteristics may be associated with better or worse outcomes.
Findings can inform targeted interventions to improve value-based care delivery.