How Do Safety-Net Hospitals Perform on Episode Spending Measures?
In a recent publication, VSSL members Dr. Joshua Liao and Lingmei Zhou partnered with Amol Navathe from the University of Pennsylvania to analyze publicly reported Clinical Episode-Based Payment (CEBP) measures at safety-net and non-safety-net hospitals.
Publicly reporting hospital spending for specific episodes of care is a promising, but relatively understudied, strategy for containing hospital spending. Dr. Liao and team analyzed 6 novel Clinical Episode-Based Payment (CEBP) measures implemented by Medicare in the Hospital Inpatient Quality Reporting program, with several key findings:
Among hospitals subject to CEBP measures nationwide, safety-net hospitals were larger and were more likely to be nonprofit, nonteaching hospitals than non–safety-net hospitals.
The magnitude of episode spending varied by episode type, ranging from the lowest for cellulitis episodes to the highest for aortic aneurysm episodes.
Episode spending was not associated with hospital safety-net status for any episode type.
The study findings provided the first description of baseline episode spending patterns for safety-net hospitals and suggest that such spending does not vary by safety-net status.
Read the full publication here.