Medicare's value-based purchasing program that starts in fiscal year 2013 relies on too many quality measures, some of which are not appropriate for all hospitals, asserts provider alliance VHA Inc. in a comment letter to the Centers for Medicare and Medicaid Services.

Beginning Oct. 1, 2012, Medicare will link payments to hospitals to quality outcomes and patient perceptions of care under the VBP program. However, a proposed rule published in January enables CMS to add additional measures in future years by making those measures applicable after being displayed for one year on the government's Hospital Compare Web site, rather than through the formal rulemaking/comment process. VHA opposes use of a "subregulatory process to incorporate additional measures into the VBP program," according to the comment letter.

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