According to The Advisory Board, the results are in for the value-based purchasing (VBP) and hospital-acquired conditions (HAC) adjustments that will apply in FY 2015 based on data released in nid December. Taken together with the finalized readmissions penalties that were announced in September, we now have a complete picture of how hospitals paid under the inpatient prospective payment system will be impacted in FY 2015 (assuming no correction notices are on the horizon).
724 hospitals are set to receive the 1% HAC penalty in FY 2015. CMS’s prior analysis (based on the proposed HAC penalties) indicated that a HAC score of 7 would likely be sufficient to place a hospital in the worst performing quartile. However, based on final data, the cutoff point looks to be a little higher at 7.025, meaning 143 hospitals barely escaped the worst-performing quartile.
Unsurprisingly, the mix of hospitals receiving HAC penalties also changed. This seemed likely to happen as the proposed penalties released back in April were based on a set of NHSN data representing an abbreviated timeframe. Now that the final, full timeframe has been accounted for, 168 hospitals that were originally expecting to receive a HAC penalty managed to avoid it altogether, while 138 hospitals that escaped penalty in the proposed rule are now slated to receive the full 1%.
Taking the glass half full view, fewer hospitals are set to receive a HAC penalty than initially proposed: down from 770 to 724 facilities.