Performance data from around the nation

See how pay-for-performance programs may affect U.S. hospitals in FY 2019

Ever wonder how pay-for-performance programs like value-based purchasing and readmissions will affect U.S. hospitals and health systems? The answer is a click away.

Our map estimates the net revenue impact of these pay-for-performance programs based on CMS's final FY 2019 adjustment factors and penalty flags.

Click, drag, and zoom to see the P4P programs' estimated net FY 2019 impact on any institution's Medicare revenues—the map is color-coded by severity (red represents a harsh penalty while blue represents a significant net bonus, for example). You can also open the map in a new browser to view it in full size.

Notes on the data:

  • Map displays the estimated pay for performance (P4P) impact for hospitals paid under the inpatient prospective payment system (IPPS), excluding hospitals such as Maryland, Puerto Rico, and U.S. territories that are not reimbursed under IPPS.
  • VBP, Readmissions, and data represents CMS's final FY19 adjustments.
  • The financial impact presented for each facility is derived from the publicly available data from CMS's supplemental files for Readmissions and VBP (tables 15B, 16B, respectively) combined with MedPAR base operating payments for FY 2017 to estimate base operating payment amounts for FY 2019.

Next, Check Out

Medicare Payment Strategy: Medicare Hospital Inpatient Pay-for-Performance Update, FY 2017