Association between degree of exposure to the Hospital Value Based Purchasing Program and 30-day mortality: experience from the first four years of Medicare’s pay-for-performance program

Table 5 Association of HVBP with 30-day risk adjusted mortality rate for AMI, HF, and pneumonia using 2011–2013 as post period

	AMI	HF	Pneumonia
High Medicare share hospitals	−0.040 (0.10)	− 0.103 (0.08)	− 0.122 (0.10)
Post-HVBP	−1.212* (0.08)	0.539* (0.06)	0.360 (0.07)
High Medicare share hospitals x Post-HVBP	0.093 (0.08)	0.053 (0.06)	0.034 (0.08)
N	7250	9350	9405

Note: Only selected estimates reported
Sources: Authors’ analysis of Hospital Compare (2009–2013), American Hospital Association Annual Survey (2009), and Final Impact Rules (2009–2013) data
High Medicare share hospitals: Hospitals with Medicare share inpatient days > = 55%; Low Medicare share hospitals: Hospitals with Medicare share inpatient days < 55%
Post-HVBP refers to the period 2011–2013
Estimates from random effects model reported; heteroscedasticity-robust standard errors clustered at the hospital level; model includes year dummies
Standard errors in parenthesis
*p < 0.05.

ISSN: 1472-6963