Value-based purchasing and readmission hold-backs have landed, and many providers likely don’t have a real firm grasp at how much money is at risk, said Raj Lakhanpal, M.D., CEO at SpectraMD USA, during a presentation at HIMSS13 in New Orleans.
The incremental hold-backs for the CMS value-based purchasing program and high rates of preventable readmissions incrementally increase through 2017. In addition, the weights for certain value-based purchasing measures change over time, so by 2017 the hold-back amount is weighted more heavily for clinical efficiency (cost) and eight patient satisfaction measures (the HCAHPS, collectively).
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