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ESRD QIP - Pain Assessment and Follow-up - Payment Year 2019
data.medicare.gov | Last Updated 2019-02-08T02:08:17.000ZThis dataset includes facility details, measure score, and the state and national average measure scores for the pain assessment and follow up reporting measure included in the PY 2019 ESRD QIP.
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FY 2020 SNF VBP Facility Performance
data.medicare.gov | Last Updated 2019-12-05T03:03:11.000ZThis dataset contains facility specific performance information for the fiscal year (FY) 2020 Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program. Included are baseline period (FY 2016) and performance period (FY 2018) risk-standardized readmission rates, achievement scores, improvement scores, performance scores, rankings, and incentive payment multipliers.
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Hospital-Acquired Condition Reduction Program
data.medicare.gov | Last Updated 2019-10-30T01:35:59.000ZIn October 2014, CMS began reducing Medicare payments for subsection (d) hospitals that rank in the worst-performing quartile with respect to hospital-acquired conditions (HACs). Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution may be subject to the payment reduction. This table contains a hospital’s measure, domain and Total HAC scores. The domain scores comprise the Total HAC Score.
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Skilled Nursing Facility Quality Reporting Program – Swing Beds – Provider Data
data.medicare.gov | Last Updated 2019-12-04T02:21:13.000ZNon-Critical Access Hospitals (CAHs) with swing beds are hospitals that provide Medicare Part A Skilled Nursing Facility (SNF) services to beneficiaries and must report data on certain measures of quality to Medicare through the Skilled Nursing Facility Quality Reporting Program (SNF QRP). This file contains a list of the swing bed units participating in the SNF QRP, as well as their results on quality measures implemented under the IMPACT Act.
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Medicare Spending Per Beneficiary – Hospital Additional Decimal Places
data.medicare.gov | Last Updated 2019-10-30T01:31:26.000ZThe Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (“episode”) at a specific hospital compared to all hospitals nationally. An MSPB episode includes Medicare Part A and Part B payments for services provided by hospitals and other healthcare providers the 3 days prior to, during, and 30 days following a patient’s inpatient stay. This measure evaluates hospitals’ costs compared to the costs of the national median (or midpoint) hospital. This measure takes into account important factors like patient age and health status (risk adjustment) and geographic payment differences (payment-standardization). The data displayed here are identical to the data displayed in the “Medicare Spending per Beneficiary” file, except that this file displays hospitals’ measure values out to six decimal places instead of two decimal places.
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FY 2020 SNF VBP Aggregate Performance
data.medicare.gov | Last Updated 2019-12-05T03:03:32.000ZThis table contains aggregate level information for the fiscal year (FY) 2020 Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program.
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Medicare Spending Per Beneficiary– National
data.medicare.gov | Last Updated 2019-10-30T01:49:33.000ZThe Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (“episode”) at a specific hospital compared to all hospitals nationally. An MSPB episode includes Medicare Part A and Part B payments for services provided by hospitals and other healthcare providers the 3 days prior to, during, and 30 days following a patient’s inpatient stay. This measure evaluates hospitals’ costs compared to the costs of the national median (or midpoint) hospital. This measure takes into account important factors like patient age and health status (risk adjustment) and geographic payment differences (payment-standardization). The numbers displayed here are: 1) the average MSPB measure for the nation; and 2) the national episode-weighted median MSPB amount used as the denominator in the calculation of each hospital's MSPB measure.
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Medicare Spending Per Beneficiary – State
data.medicare.gov | Last Updated 2019-10-30T01:49:20.000ZThe Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (“episode”) at a specific hospital compared to all hospitals nationally. An MSPB episode includes Medicare Part A and Part B payments for services provided by hospitals and other healthcare providers the 3 days prior to, during, and 30 days following a patient’s inpatient stay. This measure evaluates hospitals’ costs compared to the costs of the national median (or midpoint) hospital. This measure takes into account important factors like patient age and health status (risk adjustment) and geographic payment differences (payment-standardization). The data displayed here are the average measures for each state.
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Medicare Spending Per Beneficiary – Hospital
data.medicare.gov | Last Updated 2019-10-30T01:31:54.000ZThe Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (“episode”) at a specific hospital compared to all hospitals nationally. An MSPB episode includes Medicare Part A and Part B payments for services provided by hospitals and other healthcare providers the 3 days prior to, during, and 30 days following a patient’s inpatient stay. This measure evaluates hospitals’ costs compared to the costs of the national median (or midpoint) hospital. This measure takes into account important factors like patient age and health status (risk adjustment) and geographic payment differences (payment-standardization).
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Medicare Hospital Spending by Claim
data.medicare.gov | Last Updated 2019-10-30T01:38:56.000ZThe data displayed here describes average spending levels during hospitals’ Medicare Spending per Beneficiary (MSPB) episodes by Medicare claim type. The data presented on Hospital Compare provide price-standardized, non-risk-adjusted values for hospital spending by claim type because risk adjustment is done at the episode level rather than at the service category/claim level. An MSPB episode includes all Medicare Part A and Part B claims paid during the period from 3 days prior to an inpatient hospital admission through 30 days after discharge.