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CHA DataSuite Releases Three Hospital-Specific Reports

For CEOs, CFOs, reimbursement directors, quality & compliance officers

CHA DataSuite has released three hospital-specific reports. The first two offer specific analyses for federal fiscal year (FFY) 2021 of the Hospital-Acquired Condition (HAC) Reduction Program and the Value-Based Purchasing (VBP) Program. These analyses are intended to provide hospitals a preview of the program’s potential impact, based on publicly available data and rules established by the Centers for Medicare & Medicaid Services (CMS). The third report is an overview of the FFYs 2018-2020 Medicare quality programs.

Hospital Acquired Condition Reduction Program FFY 2021 Fourth Quarter

The HAC Reduction Program reports evaluate hospital performance under the FFY 2021 program using the fourth quarter 2018-19 data updates of Hospital Compare.  The analysis includes estimates and details on how HAC measures and domain scores are calculated and how payment penalties are determined and applied under the program. 

Due to data limitations, the analysis does not use the data for the same performance periods that CMS will use to calculate its final FFY 2021 HAC Program scores. That data will not be available on Hospital Compare until the beginning of FFY 2021. Because of differences in source data and analytic methods, the estimated scores and dollar impacts in this analysis will differ from the final CMS calculations, and may vary from those provided by other organizations.

For more information, see the analysis description.

Value-Based Purchasing Program FFY 2021 Fourth Quarter

The VBP Program reports estimate VBP scores, impacts, and scoring trends. They provide full detail on how the points and scores for each VBP measure and domain are calculated.

A report that compares actual FFY 2019 and FFY 2020 program performance to estimated FFY 2021 program performance is also included.

The analysis of the FFY 2021 program does not use the actual data CMS will use to calculate final VBP scores and Medicare inpatient payment redistributions. Those data will not be publicly available until the official program is implemented.

For more information, see the VBP analysis description.

FFYs 2018-20 Medicare Quality Programs Overview

The third report provides a one-page summary of hospital quality performance and impacts for each of CMS’ three Medicare fee-for-service inpatient quality programs from FFYs 2018 through 2020.

The overall estimated impact of the three Medicare quality programs — VBP, HAC, and Readmissions Reduction — for each of the program years is provided in a fourth section of the report. Payment adjustment factors for each of the programs are the actual, final factors for all three years. Dollar impacts are inclusive of changes due to correction notices and are estimated based on the financial information in the source data.

For more information, see the report description.