Increased Patient Satisfaction Scores Influence Reimbursements

Hospitals with high performance scores in patient care are more profitable, according to a new Press Ganey report. The top 25 percent of U.S. hospitals with the highest scores on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) question about performance were, on average, the most profitable and had the highest clinical scores, suggesting that patient experience, coupled with clinical outcomes, can mean financial profitability for the institution.

With the Centers for Medicare & Medicaid Services’ (CMS) first national pay-for-performance program, hospitals now link quality with reimbursements. Through the Hospital Inpatient Value-based Purchasing Program (VBP), starting on July 1 hospitals began reporting clinical and patient experience measures from which CMS calculated VBP scores. HCAHPS makes up 30 percent of the total hospital inpatient VBP score. Effective Oct. 1, 2012, those scores will translate into reimbursement changes, according to the report. And by 2013, hospitals will face penalties for negative clinical outcomes, such as high readmission rates and hospital acquired infections.

Value Based Purchasing Guide

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