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Research Letter
January 2016

Association of Postdischarge Spending and Performance on New Episode-Based Spending Measure

Author Affiliations
  • 1Department of Health Management and Policy, University of Michigan, Ann Arbor
  • 2Department of Urology, University of Michigan, Ann Arbor
  • 3Division of General Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor
JAMA Intern Med. 2016;176(1):117-119. doi:10.1001/jamainternmed.2015.6261

The Centers for Medicare & Medicaid Services (CMS) is incentivizing hospitals to provide high-quality, low-cost care.1 As part of these efforts, CMS recently added the Medicare Spending per Beneficiary (MSPB) metric to its Hospital Value-Based Purchasing (HVBP) program, marking the first time that most US hospitals have received financial penalties or rewards based on their performance on a risk-adjusted, price-standardized 30-day episode-based measure of Medicare spending along with quality measures. The factors that influence or determine hospital performance in this metric have not yet been thoroughly investigated. We evaluated whether hospital performance was driven by spending before, during, or after hospitalization.

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