Four New Analyses Cover Medicare Quality Programs, Medicare Spending Per Beneficiary, Inpatient Quality Measure Trends, Value-Based Purchasing
What’s happening: CHA DataSuite released four hospital-specific analyses intended to provide hospitals with a preview of impacts and trends related to various programs.
Medicare Fee-for-Service Margins Analysis Includes Q4 2024 Data Release
What’s happening: Following the Centers for Medicare & Medicaid Services’ (CMS’) fourth quarter (Q4) 2024 data release, CHA DataSuite has issued a hospital-specific analysis of the Medicare fee-for-service (FFS) margins that show its trends from federal fiscal year (FFY) 2014 through FFY 2023. What else to know: Approximately 93% of hospitals provided their FFY 2023 […]
Analysis Released on OPPS Observation and Emergency Department Utilization for CYs 2019-23
What’s happening: CHA DataSuite has issued a hospital-specific analysis of the outpatient prospective payment system (OPPS) observation and emergency department (ED) utilization.
What else to know: The analysis provides a comparative review of Medicare fee-for-service (FFS) outpatient observation and ED visits during calendar years (CYs) 2019-23.
Post-Acute Care Transfer Policy Analysis for FFYs 2020-25 Shows Estimated Impact on Medicare Inpatient FFS Payments and More
What’s happening: CHA DataSuite has issued a hospital-specific analysis of the inpatient post-acute care transfer (PACT) adjustment policy that shows the estimated impact on Medicare inpatient fee-for-service (FFS) payments.
What else to know: The analysis also shows corresponding Medicare severity diagnosis-related group (MS-DRG) volumes from the inpatient prospective payment system (IPPS) during federal fiscal years (FFYs) 2020-25.
New Analysis Shares Potential Impact of FFY 2026 Value-Based Purchasing Program (Third Quarter 2024 Data Update)
What’s happening: CHA DataSuite issued a hospital-specific analysis of the Value-Based Purchasing (VBP) Program, which is based on the most recent publicly available data and program rules established by Centers for Medicare & Medicaid Services (CMS). The analysis is intended to give hospitals a preview of the potential impact of the federal fiscal year (FFY) 2026 VBP program.
What else to know: Comparison to the FFY 2025 program performance is limited as CMS has not yet made final measure and domain level scores available.
Beginning FFY 2026, hospitals will be awarded health equity adjustment (HEA) bonus points for excellent care of underserved populations based on their performance in the four evaluated domains, as well as their percentage of full-dually-eligible patients. An HEA estimate is included in this analysis. There will be winners and losers due to the HEA, as the program slope changes with the additional bonus points.
Correction Requests for Medicare Hospital FFY 2026 Wage Index, Occupational Mix Revised Data Due Feb. 18
What’s happening: CHA DataSuite issued a hospital-specific analysis of the Medicare hospital federal fiscal year (FFY) 2026 wage index and occupational mix revised data — and it is imperative that hospitals review these data, as they have until Feb. 18 to submit requests for either error corrections or revisions.
What else to know: The data analyzed is revised and is the second of three wage and occupational mix data public use files (PUFs) that the Centers for Medicare & Medicaid Services (CMS) issued to develop the hospital wage index for FFY 2026.
CHA DataSuite Analysis Provides Comparative Review of CMS ‘Care Compare’ Quality Data for Third Quarter 2024
What’s happening: CHA DataSuite has issued a hospital-specific analysis on quality program measure trends for the third quarter of 2024.
What else to know: The analysis provides hospitals a comparative review of the quality data collected over time by the Centers for Medicare & Medicaid Services (CMS) and published on Care Compare.
CHA DataSuite Analysis of CY 2025 Medicare OPPS Final Rule Shows Fee-for-Service Payment Changes from CY 2024
What’s happening: CHA DataSuite has issued a hospital-specific analysis of calendar year (CY) 2025 Medicare outpatient prospective payment system (OPPS) final rule.
What else to know: The analysis is intended to show providers how Medicare outpatient fee-for-service payments will change from CY 2024 to CY 2025 based on the policies set forth in the final rule.
CHA DataSuite CY 2025 HH Final Rule Impact Analysis Shows How Medicare FFS Payments Will Change
What’s happening: CHA DataSuite has issued a hospital-specific analysis of the calendar year (CY) 2025 Medicare home health (HH) prospective payment system final rule analysis.
What else to know: The analysis is intended to show HH providers how Medicare fee-for-service (FFS) payments will change from CY 2024 to CY 2025 based on the policies set forth in the final rule. A detailed summary of the final rule is available for CHA members.