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

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