tci Medicare Compliance & Reimbursement - 2006 Issue 33

HOSPITALS: New Analysis Could Provoke CMS To Get Serious About P4P For Hospitals

New quality measures may save $1.35 billion in hospital costs.A little bit of mathematical detective work might be enough to convince the Centers for Medicare & Medicaid Services (CMS) to widen the reach of its hospital pay-for-performance (P4P) demonstration.Premier Inc. collected a set of 33 quality indicators from more than 250 hospitals nationwide in its Hospital Quality Incentive Demonstration (HQID) in partnership with CMS. Premier, a health care alliance comprised of more than 200 leading non-profit hospitals and health care systems, applied the quality measures to a "what-if" analysis of hospital data from 2004 and released...

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