The Centers for Medicare & Medicaid Services today posted the final incentive payment adjustment factors for the fiscal year 2019 Hospital Value-Based Purchasing Program, which are being used to adjust base operating Medicare Severity Diagnosis-Related Group payments to eligible hospitals for discharges this year. As required by law, base operating MS-DRG payments to eligible inpatient prospective payment system hospitals are being reduced by 2 percent in FY 2019 to fund an estimated $1.9 billion in incentive payments for the VBP program. The actual VBP amount earned by each hospital depends on its Total Performance Score and incentive payment percentage. For FY 2019, the highest performing hospital in FY 2019 will receive a net increase in IPPS payments of 3.67 percent, and the lowest performing hospital will incur a net decrease in IPPS payments of 1.59 percent, CMS said. To view the final FY 2019 adjustment factors, see Table 16B at www.cms.gov
 

Related News Articles

Perspective
It’s been well established that the health care system is moving from a fee-for-service world to one where payers reward value over volume. This requires care…
Headline
The Centers for Medicare & Medicaid Services today approved for Oklahoma the first state Medicaid plan amendment to allow supplemental rebate agreements…
Headline
The Comprehensive Primary Care Initiative reduced hospitalizations and emergency department visits and improved primary care delivery for beneficiaries, but…
Headline
A new certificate program from the AHA’s Association for the Healthcare Environment will teach health care leaders who purchase or recommend products and…
Headline
The AHA today released a TrendWatch report to help hospital and health system leaders better understand the current landscape of value-based payment models and…
Blog
The strategies that are empowering health care leaders to drive the transformation of America’s health care will take center stage July 27-29 at the 25th…