What Medicare changes could mean to local hospitals

Value-Based Purchasing is a program started in January under Medicare that seeks to hold hospitals accountable for the care they provide.Hospitals adjust to 'value-based' Medicare

Feb. 18, 2013

Throughout the debate and the recent initial implementation steps of health care reform, medical experts and politicians alike have touted the shift away from the fee-for-service model to more coordinated care, leading to better outcomes and lowered spending. [read the story]

Last year, Medicare rolled out penalties for hospitals that have too many returning patients within a month.

The chart below shows the effect of the two programs combined. The adjustments do not apply to money Medicare pays hospitals for capital expenses, to teach residents or to treat large numbers of low-income patients, according to Kaiser Health News. HospitalChange in payment from Value-BasedChange in payment

based on re-admissions Total change per Medicare

patient staySonoma CountyKaiser Foundation Hospital--Santa Rosa0.28%00.28%Palm Drive Hospital0.23%-0.26%-0.03%Petaluma Valley Hospital-0.03%0-0.03%Santa Rosa Memorial Hospital-0.30%0-0.30%Sonoma Valley Hospital 0.25%-0.02%-0.23%Sutter Medical Center of Santa Rosa-0.08%0-0.08%Healdsburg District Hospitaln/an/an/aNapa CountyQueen of the Valley-0.06%0-0.06%St. Helena Hospital0.24%-0.02%0.22%Marin CountyMarin General Hospital-0.26%-0.01%-0.27%Novato Community Hospital (Sutter Health)0.20%00.20%

Sources: Centers for Medicare & Medicaid Services, Kaiser Health News


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