Exploring the Hospital Payment and Value of Care Dataset from CMS

Understanding Hospital Payment Value Data: Insights from CMS

The Hospital Payment Value Data from CMS provides information on the financial aspects and value of care provided by hospitals, focusing on Medicare Spending Per Beneficiary (MSPB) and payment measures related to specific conditions such as heart attack, heart failure, pneumonia, and hip/knee replacements. It includes price-standardized and risk-adjusted payment data, allowing comparisons of hospital spending relative to national averages, and assesses the value of care by linking payment measures with quality-of-care metrics like mortality and complication rates.

Data Schema

Header Description
Higher Estimate Higher bound estimate for a measure
Facility ID Unique identifier for the facility
Value of Care Display Name Name used for displaying the value of care
Lower Estimate Lower bound estimate for a measure
Payment Measure Name Name of the specific payment measure
Address Physical address of the facility
ZIP Code Postal ZIP code of the facility location
End Date Date when the measurement period ends
Payment Category Category of the payment measure
Facility Name Name of the healthcare facility
Payment Measure ID Unique identifier for the payment measure
Value of Care Display ID Unique identifier for the value of care display
Denominator Denominator used in the calculation of the measure
Start Date Date when the measurement period begins
Payment Amount paid for services provided
State State where the facility is located
City/Town City or town where the facility is located
Value of Care Category Category for the value of care measure
Telephone Number Contact telephone number for the facility
County/Parish County or parish where the facility is located

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Geography

United States national coverage.

The Hospital Payment Value Data from CMS covers information related to payment and value of care for inpatient hospital services, including Medicare Spending Per Beneficiary and payment measures for specific conditions such as heart attack, heart failure, pneumonia, and hip/knee replacement. It evaluates how much Medicare spends per episode of care in hospitals nationwide, comparing individual hospital spending to national averages.

Frequently Asked Questions

What is the Hospital Payment Value Data from CMS dataset?
The Hospital Payment Value Data from CMS is a comprehensive dataset detailing the payment and value of care metrics for hospitals across the United States. It includes information on Medicare Spending Per Beneficiary, payment measures for specific conditions such as heart attack, heart failure, pneumonia, and hip/knee replacements, and the overall value of care provided by hospitals. This dataset helps assess hospital performance by comparing hospital payments and quality of care to national averages, promoting transparency and value in healthcare.
What is the history of this dataset?
The Hospital Payment Value Data from CMS is part of the broader efforts by the Centers for Medicare & Medicaid Services (CMS) to promote transparency and accountability in healthcare. The dataset is a result of CMS's initiatives to provide public access to information regarding hospital payments and the value of care, aligning with the goals of the Hospital Inpatient Quality Reporting (IQR) Program. The dataset's creation and updates involve various stakeholders, including CMS data analysts, healthcare providers, and policymakers, to ensure accurate and relevant information is available to the public.
How often is the data updated?
Sporadically
What is the coverage and what is included in this dataset?
The Hospital Payment Value Data from CMS dataset offers comprehensive coverage of Medicare spending and value of care across inpatient hospitals in the United States. It includes detailed information on Medicare Spending Per Beneficiary (MSPB), which covers all Medicare Part A and Part B payments for services provided during an episode of care, encompassing the 3 days prior to a hospital stay, the inpatient stay, and the 30 days after discharge. The dataset also includes payment measures for heart attack, heart failure, pneumonia, and hip/knee replacement patients, summarizing payments made by or on behalf of Medicare patients for healthcare services starting from the first day of hospitalization through a specified period (30 or 90 days). Additionally, the dataset provides insights into the value of care by combining payment measures with quality-of-care measures, such as death rates or complication rates. This enables comparisons of care value between hospitals. The data is price-standardized and risk-adjusted to ensure consistency and account for patient characteristics and geographic variations. This dataset is ideal for evaluating hospital performance, understanding healthcare costs, and assessing the value of care provided to Medicare beneficiaries. It is regularly updated to reflect changes in Medicare spending and care value metrics.
Why is the Hospital Payment Value Data from CMS dataset valuable?
The dataset is valuable because it allows stakeholders to assess and compare the financial efficiency and quality of care provided by hospitals, facilitating informed decisions and improvements in healthcare delivery.
How do I join this dataset with other datasets?
You can use Placekey's Join Dataset Tool, here!

Dataset at a glance

Dataset Name
Hospital Payment Value Data from CMS
Description
The Hospital Payment Value Data from CMS provides insights into Medicare spending, payment measures, and the value of care in hospitals.
Update Frequency
Sporadically
Coverage
United States national coverage.
Data Quality
Not assessed.
Dataset Size
Large; approximately thousands of records.
Maintained By
U.S. Centers for Medicare & Medicaid Services (CMS)
License

Unknown