Nursing Home Value-Based Purchasing Demonstration

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Title
Nursing Home Value-Based Purchasing Demonstration
Project Officer(s)
Ronald Lambert
Start Date
End Date
Award
Task Order (MRAD)
Description
The Nursing Home Value-Based Purchasing (NHVBP) demonstration is the CMS "pay-for-performance" initiative to improve the quality of care furnished to all Medicare beneficiaries in nursing homes. Under this demonstration, CMS will provide financial incentives to nursing homes that demonstrate high standards for providing quality care. CMS will assess quality performance on four domains: nurse staffing, avoidable hospitalizations, resident outcomes, and state health inspection surveys. The demonstration will be financed from reductions in Medicare expenditures, primarily from reductions in hospitalizations due to improved quality. We will include all Medicare beneficiaries who reside in a participating nursing home (i.e., those in a Part A SNF stay as well as those who receive only Part B benefits), many of whom are dually eligible for Medicare and Medicaid.
Funding
$2,755,000.00
Principal Investigator(s)
Alan White
Project Number
HHSM-500-2005-00018I/0001
Status
This 3-year demonstration began July 1, 2009 in 3 states: Arizona, New York, and Wisconsin. The following numbers of nursing homes were selected to participate at the beginning of the demonstration: Arizona - 41, New York - 79, Wisconsin - 62. CMS is collecting payroll data from participants each quarter to assess performance in the staffing domain, and will assess the other 3 domains using administrative data. CMS has selected a nursing home comparison group in each state to calculate the Medicare savings under the demonstration. Annual performance payments will be made based on the estimated Medicare savings. The savings calculation for the first year of the demonstration is expected to occur in the summer of 2011.
Awardee Address

55 Wheeler St.
Cambridge, MA 02138
United States

Awardee Name
Abt Associates, Inc.