How Medicare-Only Patient Analysis Impacts Hospital Readmission Rankings

Beginning with 2016 third quarter data, VHHA is providing hospital standardized readmission rankings using Medicare-only patient data, as well as all-payer patient data because hospitals officials have expressed interest in seeing the population that the Centers for Medicare & Medicaid Services (CMS) reviews. Considering the concerns that patients with multiple readmissions are often younger and…

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Readmissions Reduction Program Snapshot

Established under the Affordable Care Act (ACA), the Centers for Medicare & Medicaid Services’ (CMS) Readmissions Reduction Program (RRP) requires reduced payments to inpatient prospective payment system (IPPS) hospitals with excess discharges occurring as of Oct. 1, 2012. The program is intended to assess the number of unplanned hospital readmissions within 30 days of index…

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The Pattern of Buprenorphine Users Filling Other Opioid Prescriptions

Last month, AHA News Now highlighted addiction research from the Johns Hopkins Bloomberg School of Public Health.1 The study’s authors found that 43 percent of patients receiving buprenorphine for opioid addiction filled prescriptions for other opioids during their treatment. Another 67 percent filled a prescription for an opioid in the 12 months following treatment. The…

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Value-Based Purchasing

The Centers for Medicare & Medicaid Services’ (CMS) Value-Based Purchasing (VBP) program began in October 2012 as a Medicare pay-for-performance program. Here’s how it works: a percentage of a hospital’s Medicare reimbursement is withheld, and the funds held in reserve are redistributed among hospitals based on performance. The VBP program is a redistributive program, not…

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Overdoses in the Emergency Room

VHHA’s Research Corner previously examined hospitalization overdose trends. We now turn our attention to emergency rooms across the state to see if any patterns emerge. As seen in the graphic below, there is only one peak in the distribution of visits by age related to overdoses among patients treated in emergency rooms. In the ambulatory…

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