Financial Performance of Hospitals in the Appalachian Region Under the Hospital Readmissions Reduction Program and Hospital Value-Based Purchasing Program.
Saleema A KarimAdrienne NevolaMichael E MorrisJ Mick TilfordHsueh-Fen ChenPublished in: The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association (2020)
HRRP and HVBP financially incentivize hospitals to focus efforts on improving patient care. The programs may not have the anticipated results. Increases in total margin for all hospitals during the study period indicate access to nonpatient revenues, offsetting the financial penalties from both programs. This revenue source may undermine the program's objectives of delivering value and achieving quality outcomes.