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CHA DataSuite has released a Medicare Quality Programs Reference Guide and impact analysis reports of the federal fiscal year (FFY) 2022 Value-Based Purchasing Program and FFY 2021 Readmissions Reduction Program, as well as the Quality Program measure trends and the calendar year (CY) 2021 home health prospective payment system final rule.
Analysis of FFY 2022 Value-Based Purchasing Program
CHA DataSuite has issued a hospital-specific analysis of the Value-Based Purchasing Program (VBP) for FFY 2022. The analysis is intended to provide hospitals with a preview of the program’s potential impact, based on publicly available data and program rules established by the Centers for Medicare & Medicaid Services (CMS).
A “Performance Scorecard” report that compares actual FFY 2020 and FFY 2021 program performance to estimated FFY 2022 program performance is included. While the actual FFY 2021 domain and measure scores are not yet available from CMS, the FFY 2021 final adjustment factors were provided.
For FFY 2022 VBP, performance periods are impacted by the extraordinary circumstances exception granted by CMS in response to the public health emergency, so no claims or chart-abstracted data reflecting services provided Jan. 1 through June 30, 2020, will be used in calculations for the VBP Program. Where possible, case counts are adjusted in the analysis to reflect this.
The FFY 2022 figures are estimates, based on CMS’ third quarter 2020 update of Hospital Compare.
For more detailed information, please see the VBP analysis description.
FFY 2021 Readmissions Reduction Program Analysis
The hospital-specific analyses for the federal fiscal year (FFY) 2021 Readmissions Reduction Program are intended to provide detailed performance information on the readmissions measures that are currently evaluated under the Medicare Hospital Readmissions Reduction Program. The analysis, which is designed in the web-based platform Information Builders (IB) WebFOCUS, provides hospitals with an in-depth review of actual performance under the FFYs 2020 and 2021 programs.
For more detailed information, please see the analysis description.
Quality Program Measure Trends Analysis
The hospital-specific analyses for quality program measure trends (third quarter 2020 Hospital Compare update) are designed in IB to provide hospitals with a comparative review over time of the quality data collected by CMS and published on the Hospital Compare website. The measures updated in this third quarter 2020 Hospital Compare release include Hospital Consumer Assessment of Healthcare Providers and Systems and Safety.
For more detailed information, please see the analysis description.
Home Health PPS Final Rule CY 2021 Analysis
The hospital-specific analyses of CY 2021 Medicare home health PPS final rule are intended to show home health providers how Medicare fee-for-service (FFS) payments will change from CY 2020 to CY 2021 based on the policies set forth in the CY 2021 home health final rule. The home health PPS final rule summary can be found here.
The analysis utilizes the CY 2021 final rule home health Patient-Driven Groupings Model (PDGM) Outcome and Assessment Information Set Limited Data Set, which uses CY 2019 claims data as its basis and does not estimate the impact of home health agency-level changes due to volume or case-mix. This analysis does not estimate home health-specific revenue impact of changes to PDGM weights.
For more detailed information, please see the analysis description.
Medicare Quality Programs Reference Guide
The reference guide for the three Medicare Quality Programs – VBP, Readmissions Reduction, and Hospital-Acquired Condition Programs – for FFYs 2021, 2022, and 2023 includes details for all program years where full methodologies, measures, and performance standards have been finalized in rulemaking. In general, all program information is from the Federal Registers for FFY 2019-21 inpatient prospective payment system rulemaking.
In addition, CHA DataSuite has announced that it is transitioning reports to a new web-based platform in Information Builders (IB). The IB report is an HTM/HTML file that allows enhanced visualizations and interactive reports and can be open on your browser. CHA DataSuite, in partnership with DataGen, will be designing additional analyses in the business intelligence platform over time, but some analyses in the long term will remain in the same format. In order to receive zip files, hospitals are asked to have CHA’s email whitelisted. Hospital training on IB provides general program instructions, enhancements, and how to explore the reports in IB.
