Press Ganey updates Value-Based Purchasing Calculator to reflect VBP guidelines

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The recently unveiled Press Ganey Value-Based Purchasing Calculator has been updated to reflect the latest proposed VBP guidelines issued by CMS earlier this month. The calculator is a solution which helps Press Ganey hospital clients understand how much they stand to lose each year, as well as how to target the areas for improvement that are most likely to optimize VBP reimbursement.

The Centers for Medicare and Medicaid Services (CMS) recently proposed regulations to implement the Hospital Inpatient Value-based Purchasing Program (VBP), which bases a portion of Medicare payment on hospitals' performance on a range of quality of care and patient satisfaction measures. Revised section 3001 of the 2010 Patient Protection and Affordable Care Act requires CMS to implement the VBP program to reward hospitals for the quality of care they provide as demonstrated by their performance or improvement on measures of care quality, rather than simply adjusting payments for reporting on quality measures, as had been the emphasis of previous national-level hospital quality initiatives.

"When we released our Value-Based Purchasing Calculator late last year, we knew the legislation might continue to be refined," said Richard B. Siegrist Jr., CEO of Press Ganey. "We responded quickly to update our solution following the most current CMS proposal so that clients would quickly be able to understand the estimated impact of the revised guidelines. The updated calculator is combined with other valuable resources to enable hospital leadership to really get a clear picture of their position so they can effectively align improvement initiatives."

In addition to the revised VBP solution, Press Ganey offers additional resources to assist clients with the impending legislation. Accessible via the Press Ganey website, these resources include analysis and articles with insight from hospital clients such as:

  • Analysis of CMS' VBP Proposal.
  • "The Time to Prepare for Value-based Purchasing is Now."
  • "Integrating for Accountable Care: Under Reform, More Providers Look to New Models for Delivering Better Value to Patients."  
  • "The Grand Experiment: How Health Reform will Change the Health Care Delivery System Forever."  
  • Analysis of Key Provisions of the 2010 Health Reform Law.

The Press Ganey Value-Based Purchasing Calculator can help provide hospitals a better understanding of a number of critical factors, including:

  • What may be at risk if VBP were in effect today.
  • How performance at the measure-level contributes to value-based purchasing incentive payments.
    • A one-point improvement on one measure's VBP score may be substantially more valuable in terms of reimbursement than a five-point improvement on another measure.
  • How to prioritize areas for improvement according to size of the opportunity by comparing the investment required to the net effect of improvement to the bottom line.

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