Part One: Quality Impact Reporting, Two-Part Webinar Series (ODW5018PT1)-Quality Impact Reporting Webinar Series, Part One Recording

Video Transcription

Video Summary

In this webinar, Ms. Lauren Alvarenga and Sonam Sharpa from Datagen discussed the Medicare Value-Based Purchasing Program (VBP), the first of a two-part series for the Georgia Hospital Association (GHA). Mandated by the Affordable Care Act of 2010, the VBP program allows hospitals to earn back revenue based on performance, measuring various quality metrics. Unlike other CMS programs, it offers both rewards and penalties, redistributing funds without CMS gaining savings. Most hospitals are mandated to participate, except critical-access hospitals, though there's still analysis for potential inclusion.<br /><br />The presentation covered the complex methodology of the VBP program, highlighting its redistributive nature. It explained the calculation and impact of performance scores on reimbursement, emphasizing four performance domains: safety, clinical outcomes, cost reduction, and patient engagement. Each domain contributes equally to a hospital’s score, further influenced by a health equity adjustment, effective from 2026, rewarding hospitals caring for underserved populations.<br /><br />Georgia’s hospitals are showing room for improvement, with some domains requiring more attention. Attendees were also guided on accessing detailed hospital reports, with support for those newly accessing such data. The session concluded with a Q&A, addressing participant queries about report access and inclusivity of critical-access hospitals.

Keywords

Medicare Value-Based Purchasing Program

VBP

Affordable Care Act

hospital performance

quality metrics

health equity adjustment

Georgia Hospital Association

clinical outcomes

patient engagement