Others titles

  • CMS Payment and Value of Care
  • Payment and Value of Care by Hospital
  • CMS Value of Care and Payment Measures

Keywords

  • CMS Payment Measures
  • CMS Value of Care Payments
  • Medicare Spending Per Beneficiary
  • Medicare Beneficiary Payments
  • Hospital Compare Data
  • Quality of Care Information
  • Quality Assurance Data
  • Hospital Survey
  • Hospital Experience Information

Payment and Value of Care by Hospital

This dataset includes provider data for the payment measures and value of care displays associated with a 30-day episode of care for heart attack, heart failure, and pneumonia patients.

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Description

The Medicare Spending Per Beneficiary (MSPB-1) Measure assesses Medicare Part A and Part B payments for services provided to a Medicare beneficiary during a spending-per-beneficiary episode that spans from three days prior to an inpatient hospital admission through 30 days after discharge. The payments included in this measure are price-standardized and risk-adjusted.

The payment measures for heart attack, heart failure, and pneumonia include the payments made for Medicare beneficiaries who are 65 years and older. The measures add up payments made for care and supplies starting the day the patient enters the hospital and for the next 30 days. The measures are meant to reflect differences in the services and supplies provided to patients.

Hospital results are provided for the heart attack, heart failure, and pneumonia payment measures. It can be viewed whether the payments made for patients treated at a particular hospital is less than, no different than, or greater than the national average payment. For some hospitals, the number of cases is too small to reliably compare their results to the national average payment.

About this Dataset

Data Info

Date Created

2014-11-21

Last Modified

2024-03-29

Version

2024-03-29

Update Frequency

Annual

Temporal Coverage

2015-2024

Spatial Coverage

United States

Source

John Snow Labs; Centers for Medicare & Medicaid Services, Hospital Compare Data;

Source License URL

Source License Requirements

N/A

Source Citation

N/A

Keywords

CMS Payment Measures, CMS Value of Care Payments, Medicare Spending Per Beneficiary, Medicare Beneficiary Payments, Hospital Compare Data, Quality of Care Information, Quality Assurance Data, Hospital Survey, Hospital Experience Information

Other Titles

CMS Payment and Value of Care, Payment and Value of Care by Hospital, CMS Value of Care and Payment Measures

Data Fields

Name Description Type Constraints
Provider_IDCMS certification number (CCN). Identification number of the hospital within the CMS dataset.stringrequired : 1
Hospital_NameName of the hospital (also referred to as the provider)stringrequired : 1
AddressMain street address information of the hospitalstringrequired : 1
CityMailing city. The city in the main street address of the hospital.stringrequired : 1
State_AbbreviationTwo-letter state abbreviation in the mailing address of the hospital. This includes information on hospitals in:stringrequired : 1
Zip_Code5 digit postal zip code in the mailing address of the hospital.integerlevel : Nominalrequired : 1
CountyMailing county of the hospital.string-
Phone_NumberMain phone number of the hospital. 3-digit area code plus 7-digit telephone number.stringrequired : 1
Payment_Measure_NameThe name of the Payment Measure .stringrequired : 1
Payment_Measure_IDThe identification (ID) of the Payment measures.stringrequired : 1
Payment_CategoryThe category of the applied measure.string-
DenominatorThe number of admissions with a complication based on the nation’s performance with that hospital’s case mix.integerlevel : Ratio
Payment_In_USDThe amount of money paid in US dollars.number-
Lower_Estimate_In_USDLower interval estimate of the payment in US Dollars.number-
Higher_Estimate_In_USDLower interval estimate of the payment in US Dollars.number-
Payment_FootnoteFootnote describes an additional piece of information given separately for the compiled data.string-
Value_of_Care_Display_NameThe name of the Value of Care Measure.string-
Value_of_Care_Display_IDThe identification (ID) of the Value of Care Measure.string-
Value_of_Care_CategoryThe category of the applied measure.string-
Value_of_Care_FootnoteThe footnote of the Value of Care Measure. Footnot code refers to the code for an additional piece of information given separately for the compiled data.integer-
Measure_Start_DateThe first day the data measures were collected. The date format is YYYY-MM-DD.date-
Measure_End_DateThe last day the data measures were collected. The date format is YYYY-MM-DD.date-

Data Preview

Provider IDHospital NameAddressCityState AbbreviationZip CodeCountyPhone NumberPayment Measure NamePayment Measure IDPayment CategoryDenominatorPayment In USDLower Estimate In USDHigher Estimate In USDPayment FootnoteValue of Care Display NameValue of Care Display IDValue of Care CategoryValue of Care FootnoteMeasure Start DateMeasure End Date
10001SOUTHEAST HEALTH MEDICAL CENTER1108 ROSS CLARK CIRCLEDOTHANAL36301HOUSTON(334) 793-8701Payment for heart attack patientsPAYM_30_AMINo Different Than the National Average Payment290285022622930939Value of Care Heart Attack measureMORT_PAYM_30_AMIAverage Mortality and Average Payment2020-07-012023-06-30
10001SOUTHEAST HEALTH MEDICAL CENTER1108 ROSS CLARK CIRCLEDOTHANAL36301HOUSTON(334) 793-8701Payment for heart failure patientsPAYM_30_HFNo Different Than the National Average Payment590206021957221713Value of Care Heart Failure measurMORT_PAYM_30_HFAverage Mortality and Average Payment2020-07-012023-06-30
10001SOUTHEAST HEALTH MEDICAL CENTER1108 ROSS CLARK CIRCLEDOTHANAL36301HOUSTON(334) 793-8701Payment for pneumonia patientsPAYM_30_PNGreater Than the National Average Payment468224042124723627Value of Care Pneumonia measureMORT_PAYM_30_PNAverage Mortality and Higher Payment2020-07-012023-06-30
10001SOUTHEAST HEALTH MEDICAL CENTER1108 ROSS CLARK CIRCLEDOTHANAL36301HOUSTON(334) 793-8701Payment for hip/knee replacement patientsPAYM_90_HIP_KNEENo Different Than the National Average Payment32228192008226007Value of Care hip/knee replacementCOMP_PAYM_90_HIP_KNEEAverage Complications and Average Payment2020-07-012023-03-31
10005MARSHALL MEDICAL CENTERS2505 U S HIGHWAY 431 NORTHBOAZAL35957MARSHALL(256) 593-8310Payment for heart attack patientsPAYM_30_AMINo Different Than the National Average Payment26265612272130858Value of Care Heart Attack measureMORT_PAYM_30_AMIAverage Mortality and Average Payment2020-07-012023-06-30
10005MARSHALL MEDICAL CENTERS2505 U S HIGHWAY 431 NORTHBOAZAL35957MARSHALL(256) 593-8310Payment for heart failure patientsPAYM_30_HFNo Different Than the National Average Payment157180561649619814Value of Care Heart Failure measurMORT_PAYM_30_HFAverage Mortality and Average Payment2020-07-012023-06-30
10005MARSHALL MEDICAL CENTERS2505 U S HIGHWAY 431 NORTHBOAZAL35957MARSHALL(256) 593-8310Payment for pneumonia patientsPAYM_30_PNNo Different Than the National Average Payment283202841889221716Value of Care Pneumonia measureMORT_PAYM_30_PNWorse Mortality and Average Payment2020-07-012023-06-30
10005MARSHALL MEDICAL CENTERS2505 U S HIGHWAY 431 NORTHBOAZAL35957MARSHALL(256) 593-8310Payment for hip/knee replacement patientsPAYM_90_HIP_KNEELess Than the National Average Payment138174981641818682Value of Care hip/knee replacementCOMP_PAYM_90_HIP_KNEEAverage Complications and Lower Payment2020-07-012023-03-31
10006NORTH ALABAMA MEDICAL CENTER1701 VETERANS DRIVEFLORENCEAL35630LAUDERDALE(256) 629-1000Payment for heart attack patientsPAYM_30_AMIGreater Than the National Average Payment281313662880834136Value of Care Heart Attack measureMORT_PAYM_30_AMIWorse Mortality and Higher Payment2020-07-012023-06-30
10006NORTH ALABAMA MEDICAL CENTER1701 VETERANS DRIVEFLORENCEAL35630LAUDERDALE(256) 629-1000Payment for heart failure patientsPAYM_30_HFNo Different Than the National Average Payment438194661836320691Value of Care Heart Failure measurMORT_PAYM_30_HFAverage Mortality and Average Payment2020-07-012023-06-30