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 6 Association of HVBP with 30-day risk adjusted mortality rate for AMI, HF, and pneumonia using 2014–2016 as post period

	AMI	HF	Pneumonia
High Medicare share hospitals	−0.08 0.099	− 0.039 0.08	−0.15 0.1
Post-HVBP	−2.042* 0.06	0.610* 0.04	−0.087 0.05
High Medicare share hospitals x Post-HVBP	−0.027 -0.1	0.034 0.08	0.201* 0.09
N	7250	9350	9405

Note: Only selected estimates reported
Sources: Authors’ analysis of Hospital Compare (2009–2016), American Hospital Association Annual Survey (2009), and Final Impact Rules (2009–2016) 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 2014–2016
Estimates from random effects model reported; heteroscedasticity-robust standard errors clustered at the hospital level; model includes year dummies
* p < 0.05.
^aStandard errors in parenthesis

ISSN: 1472-6963