{"data":{"id":"10.25376/hra.7255973.v1","type":"dois","attributes":{"doi":"10.25376/hra.7255973.v1","prefix":"10.25376","suffix":"hra.7255973.v1","identifiers":[],"alternateIdentifiers":[],"creators":[{"name":"Matlin Gilman","affiliation":[],"nameIdentifiers":[]},{"name":"E. Kathleen Adams","affiliation":[],"nameIdentifiers":[]},{"name":"Hockenberry, Jason","nameType":"Personal","givenName":"Jason","familyName":"Hockenberry","affiliation":[],"nameIdentifiers":[]},{"name":"Milstein, Arnold","nameType":"Personal","givenName":"Arnold","familyName":"Milstein","affiliation":[],"nameIdentifiers":[]},{"name":"Wilson, Ira B.","nameType":"Personal","givenName":"Ira B.","familyName":"Wilson","affiliation":[],"nameIdentifiers":[]},{"name":"Becker, Edmund R.","nameType":"Personal","givenName":"Edmund R.","familyName":"Becker","affiliation":[],"nameIdentifiers":[]}],"titles":[{"title":"Safety-Net Hospitals More Likely Than Other Hospitals To Fare Poorly Under Medicare’s Value-Based Purchasing"}],"publisher":"Health Research Alliance","container":{},"publicationYear":2018,"subjects":[{"subject":"Health Care"},{"subject":"160512 Social Policy","subjectScheme":"FOR"},{"subject":"FOS: Political science","schemeUri":"http://www.oecd.org/science/inno/38235147.pdf","subjectScheme":"Fields of Science and Technology (FOS)"},{"subject":"FOS: Political science","subjectScheme":"Fields of Science and Technology (FOS)"},{"subject":"100605 Performance Evaluation; Testing and Simulation of Reliability","subjectScheme":"FOR"},{"subject":"FOS: Electrical engineering, electronic engineering, information engineering","schemeUri":"http://www.oecd.org/science/inno/38235147.pdf","subjectScheme":"Fields of Science and Technology (FOS)"},{"subject":"FOS: Electrical engineering, electronic engineering, information engineering","subjectScheme":"Fields of Science and Technology (FOS)"}],"contributors":[],"dates":[{"date":"2018-11-01","dateType":"Created"},{"date":"2018-11-01","dateType":"Updated"},{"date":"2018","dateType":"Issued"}],"language":null,"types":{"ris":"DATA","bibtex":"misc","citeproc":"dataset","schemaOrg":"Dataset","resourceType":"Dataset","resourceTypeGeneral":"Dataset"},"relatedIdentifiers":[{"relationType":"IsIdenticalTo","relatedIdentifier":"10.25376/hra.7255973","relatedIdentifierType":"DOI"}],"relatedItems":[],"sizes":["127369 Bytes"],"formats":[],"version":null,"rightsList":[{"rights":"Creative Commons Attribution 4.0 International","rightsUri":"https://creativecommons.org/licenses/by/4.0/legalcode","schemeUri":"https://spdx.org/licenses/","rightsIdentifier":"cc-by-4.0","rightsIdentifierScheme":"SPDX"}],"descriptions":[{"description":"Medicare's value-based purchasing (VBP) program potentially puts safety-net hospitals at a financial disadvantage compared to other hospitals. In 2014, the second year of the program, patient mortality measures were added to the VBP program's algorithm for assigning penalties and rewards. We examined whether the inclusion of mortality measures in the second year of the program had a disproportionate impact on safety-net hospitals nationally. We found that safety-net hospitals were more likely than other hospitals to be penalized under the VBP program as a result of their poorer performance on process and patient experience scores. In 2014, 63 percent of safety-net hospitals versus 51 percent of all other sample hospitals received payment rate reductions under the program. However, safety-net hospitals' performance on mortality measures was comparable to that of other hospitals, with an average VBP survival score of thirty-two versus thirty-one among other hospitals. Although safety-net hospitals are still more likely than other hospitals to fare poorly under the VBP program, increasing the weight given to mortality in the VBP payment algorithm would reduce this disadvantage.","descriptionType":"Abstract"}],"geoLocations":[],"fundingReferences":[],"xml":"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","url":"https://hra.figshare.com/articles/Safety-Net_Hospitals_More_Likely_Than_Other_Hospitals_To_Fare_Poorly_Under_Medicare_s_Value-Based_Purchasing/7255973/1","contentUrl":null,"metadataVersion":2,"schemaVersion":"http://datacite.org/schema/kernel-4","source":"mds","isActive":true,"state":"findable","reason":null,"viewCount":5,"viewsOverTime":[{"yearMonth":"2025-12","total":2},{"yearMonth":"2026-03","total":2},{"yearMonth":"2026-08","total":1}],"downloadCount":2,"downloadsOverT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