Skilled Nursing Facility Value-Based Purchasing Program For Fiscal Year 2022
Value-Based Purchasing Program For Facility-Level Data
SNF Performance Scores Along With Value-Based Incentive Payments
CMS Quality Improvement Program
Keywords
Nursing Home Compare
Risk Standardized Readmission Rates
Incentive Payment Multipliers
Skilled Nursing Facility Performance Scores
Quality Improvement Evaluation System
Medicare Claims Data
Quality of Care
Value-Based Purchasing Program
Prospective Payment System
Skilled Nursing Facility VBP Facility Level Data
This dataset contains facility-specific performance information for the fiscal year (FY) 2023 Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program. It includes baseline period (calendar year (CY) 2019) and performance period (CY 2021) risk-standardized readmission rates, achievement scores, improvement scores, performance scores, rankings, and incentive payment multipliers.
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The Centers for Medicare & Medicaid Services (CMS) has released a technical report to provide additional details on the empirical analysis that were considered when developing and finalizing the logistic exchange function that will be used to translate Skilled Nursing Facility (SNF) performance scores into incentive payments for the Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program. CMS has adopted the logistic exchange function as the method that will be used to translate SNF performance scores into value-based incentive payments beginning in October 2019 (FY 2020).
The Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program awards incentive payments to SNFs based on their performance on the Program’s measure of readmissions. SNF VBP payment incentives will be included on Medicare Part A claims paid under the SNF Prospective Payment System (PPS) as a single line item on each claim paid during the Fiscal Year (FY); no separate payment will be made. SNF VBP incentive payments do not apply to any other type of claims (such as Medicare Advantage claims, Medicaid claims, or Medicaid managed care claims).
Each SNF’s incentive payment will depend on its performance score, which will be placed in the logistic exchange function to determine the corresponding incentive multiplier. The highest scoring facilities will receive the highest payment incentives, and the lowest scoring facilities will receive the lowest payment incentives, as required by statute. CMS provides confidential feedback reports to SNFs on a quarterly and annual basis. Quarterly supplemental workbooks containing patient-level data are provided for quality improvement purposes. SNFs will also receive two annual reports; one report containing a full performance period and their measure score, and the second report containing the SNF performance score, rank, and payment incentive to be applied to Medicare claims in the upcoming fiscal year. SNFs can access all reports through Quality Improvement Evaluation System (QIES) Certification and Survey Provider Enhanced Reporting (CASPER) system.
About this Dataset
Data Info
Date Created
2018-11-15
Last Modified
2024-05-29
Version
2024-05
Update Frequency
Monthly
Temporal Coverage
N/A
Spatial Coverage
United States
Source
John Snow Labs; Medicare.gov - Centers for Medicare and Medicaid Services, Nursing Home Compare Data;
Source License URL
Source License Requirements
N/A
Source Citation
N/A
Keywords
Nursing Home Compare, Risk Standardized Readmission Rates, Incentive Payment Multipliers, Skilled Nursing Facility Performance Scores, Quality Improvement Evaluation System, Medicare Claims Data, Quality of Care, Value-Based Purchasing Program, Prospective Payment System
Other Titles
Skilled Nursing Facility Value-Based Purchasing Program For Fiscal Year 2022, Value-Based Purchasing Program For Facility-Level Data, SNF Performance Scores Along With Value-Based Incentive Payments, CMS Quality Improvement Program
Data Fields
Name
Description
Type
Constraints
Skilled_Nursing_Facility_VBP_Ranking
A skilled nursing facility's (SNF's) national rank in the SNF Value-Based Purchasing (VBP) Program.
string
-
Provider_Number_CCN
Centers for Medicare & Medicaid Services (CMS) Certification Number (CCN) .
integer
level : Nominal
Provider_Name
Identifies the name of the provider.
string
-
Address
The address of the Nursing Home center or provider.
string
-
City
The city name in the location address of the facility being identified.
string
-
State_Abbreviation
The two-letter abbreviations of the state in the mailing address of the facility. This includes information on hospitals in the U.S states.
string
-
Zip_Code
The postal code in the mailing address of the hospital.
Indicates the footnote for performance period CY 2021 risk-standardized readmission rate.
string
-
Achievement_Score
A measure of each SNF's achievement in the performance period for the Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program; scores range from 0 to 100.
string
-
Improvement_Score
A measure of each SNF's improvement in the Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program from the baseline period to the performance period; scores range from 0 to 90.
string
-
Performance_Score
The higher of an SNF's achievement score and improvement score; scores range from 0 to 100. This score is used to calculate incentive payments for the Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program.
number
level : Ratio
Incentive_Payment_Multiplier
This multiplier represents the Skilled Nursing Facility Value-Based Purchasing (SNF VBP) payment incentive after taking into account the 2 percent withhold that funds the Program. When making payments to SNF claims, the adjusted federal per diem rate will be multiplied by this factor. For example, an incentive payment multiplier of 0.99 would reflect a net payment reduction of 1 percent.
number
level : Ratio
Data Preview
Skilled Nursing Facility VBP Ranking
Provider Number CCN
Provider Name
Address
City
State Abbreviation
Zip Code
Baseline Period CY2019 Risk Standardized Read Rate
Footnote Baseline Period CY2019 Risk Standardized Read Rate
Performance Period CY 2021 Risk Standardized Read Rate
Footnote Performance Period CY2021 Risk Standardized Read Rate
Achievement Score
Improvement Score
Performance Score
Incentive Payment Multiplier
10007
MIZELL MEMORIAL HOSPITAL
702 N MAIN ST
OPP
AL
36467
0.20151
0.25997
0.0
0.00000
0.0
0.9802564842
10044
MARION REGIONAL MEDICAL CENTER
1256 MILITARY STREET SOUTH
HAMILTON
AL
35570
0.17140999999999998
0.17204
92.23297
0.00000
92.23297
1.0177687929
10045
FAYETTE MEDICAL CENTER
1653 TEMPLE AVENUE NORTH
FAYETTE
AL
35555
0.19029000000000001
0.18445
62.63053000000001
25.08758
62.63053000000001
1.0098740536
10049
MEDICAL CENTER ENTERPRISE
400 N EDWARDS STREET
ENTERPRISE
AL
36330
This facility had fewer than 25 eligible stays during the baseline period. Therefore, this facility did not have sufficient data to calculate a baseline period risk-standardized readmission rate or improvement score.
0.20284
18.76358
---
18.76358
0.9816149907
10058
BIBB MEDICAL CENTER
208 PIERSON AVE
CENTREVILLE
AL
35042
0.18395999999999998
0.20244
19.71773
0.00000
19.71773
0.9817692112
10062
WIREGRASS MEDICAL CENTER
1200 W MAPLE AVENUE
GENEVA
AL
36340
This facility had fewer than 25 eligible stays during the baseline period. Therefore, this facility did not have sufficient data to calculate a baseline period risk-standardized readmission rate or improvement score.