Safety-net hospitals improve outcomes through P4P initiative

Medicare value-based purchasing project shows any hospital can achieve positive results, regardless of size, location or patient-payer mix.


According to the Premier healthcare alliance, safety net hospitals have improved patient quality and reduced care variation as a part of the nation’s largest hospital value-based purchasing (VBP) program. Although hospitals serving a large percentage of disproportionate share patients performed below others at the outset of the Centers for Medicare & Medicaid Services (CMS), Premier Hospital Quality Incentive Demonstration (HQID) VBP project, differences in quality lessened after three years in the clinical areas of heart attack, heart failure and hip/knee replacement.


Click here for Premier's analysis.


(SOURCES: Advisory Board Daily Briefing,, August 11, 2000)