Study: For-Profit Hospitals Outperforming Non-Profit, Public Hospitals in Medicare Reimbursement Performance Measures | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

Study: For-Profit Hospitals Outperforming Non-Profit, Public Hospitals in Medicare Reimbursement Performance Measures

April 1, 2013
by Gabriel Perna
| Reprints

According to a new study from Northwestern Medicine, for-profit hospitals have been outscoring public and non-profit hospitals on performance measures tied to Medicare reimbursement. The report, which was published recently in the Annals of Emergency Medicine ,found that the average performance scores were 50 for for-profits, 35 for nonprofit hospitals and 30 for public hospitals.

“Hospitals owned by for-profits are hitting their quality markers frequently and, therefore, will fare well under the program,” Rahul Khare, M.D., one of the study authors and assistant professor in the department of emergency medicine at Northwestern University, said in a statement. “And though nonprofit and public hospitals scored lower on quality, many won’t lose out because they are improving.”

The researchers looked at performance data from nearly 3,000 hospitals nationwide, using data from 2008 to 2010. They calculated the score for each hospital based on its performance on four different emergency department measures for stroke, heart and pneumonia. Scores for the for-profits, the researchers say, were typically driven based on achievement of quality targets. The public hospitals, on the other hand, had their scores driven on improvement rather than achievement.

“The government recognizes that some public or non-profit hospitals don’t have adequate resources and is saying, ‘if you can improve you won’t be punished for lower quality scores,’” Khare said.

The research is an early look at how hospitals may measure up in the mandatory Hospital Inpatient Value-Based Purchasing Program, from the Centers for Medicare & Medicaid Services. Hospitals will receive rewards or penalties based on scores on several publicly reported quality measures.

Get the latest information on Health IT and attend other valuable sessions at this two-day Summit providing healthcare leaders with educational content, insightful debate and dialogue on the future of healthcare and technology.

Learn More

Topics

News

Trump will Nominate Acting VA Secretary Wilkie for Permanent Position

Just a day after the Department of Veterans Affairs (VA) and Cerner inked their $10 billion EHR (electronic health record) deal, President Trump said he would be nominating Acting VA Secretary Robert Wilkie for the permanent position.

ONC Names API Server Showdown Stage 2 Winner

The Office of the National Coordinator for Health Information Technology (ONC) has named 1UpHealth as the Stage 2 winner of the “Secure API Server Showdown” challenge.

EHNAC Developing Trusted Exchange Accreditation Program

To align with the Trusted Exchange Framework and Common Agreement, the Electronic Healthcare Network Accreditation Commission, a nonprofit standards development organization and accrediting body, is working with other organizations to establish a new Trusted Exchange Accreditation Program.

Lawmakers Demand New VA CIO, Citing “Malign Neglect” on EHR Project

A group of Democratic federal lawmakers, five senators and six members of Congress, are calling out the U.S. Department of Veterans Affairs (VA) for what they call “malign neglect” in the agency’s efforts to achieve electronic health record (EHR) modernization.

Medical Record Access Proves Costly for Some Patients, GAO Report Finds

Federal law requires healthcare providers to give patients access to their medical records, but according to a new GAO report, some patients believe they’re being charged too much to access their records.

Parkland’s Innovation Bridge Takes ‘Genius Bar’ Approach to Digital Health Apps

Taking inspiration from the Apple Genius Bar and Ochsner Health System’s O Bar, the Dallas-based Parkland Center for Clinical Innovation in collaboration with Parkland Health & Hospital System has opened an “Innovation Bridge” to assist patients with health-related apps.