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PPACA Hospital Reimbursements Impacted by HCAHPS Patient Satisfaction: RateHospitals.com Empowers Patients to Define Healthcare's Future
Date:8/26/2013

to participate in HCAHPS, and since July 2007, hospitals must collect and submit this data in order to receive their full annual payment update.

The PPACA of 2010 includes HCAHPS performance in the calculation of the value based incentive payment in the HVBP program, beginning with hospital discharges in October 2012. The HVBP Total Performance Score (TPS) for 2013 has two components: the Clinical Process of Care, which accounts for 70% of the TPS and the Patient Experience of Care, which accounts for 30% of the TPS, and which is based on HCAHPS. The reduction of hospital revenue, based on performance, may be 1.0% in 2013, 1.25% in 2014, 1.5% in 2015, 1.75% in 2016, and 2% for 2017 and subsequent years. For the year 2013, this represents $1 billion at stake.

RateHospitals.com is a recently developed website which allows patients to rate the experience of their hospital visit. Patients can browse over seven thousand hospitals in the United States, and click on the hospital they visited. After selecting “reviews,” they can then rate their hospital experience according to the following categories: 1) nursing communication, 2) doctor communication, 3) pain management, 4) communication of medications, 5) cleanliness and quietness of the hospital environment, and 6) overall rating of the hospital stay. Patients are also provided the opportunity to add any comments they wish, and share them through e mail or social media.

On the hospital page, the visitor can also open up the “gossip” section, and read and post information pertinent to the hospital. Awards and accolades given to the hospital might be seen in this section. The visitor to the site is also provided with demographics about the hospital, as well as a map. Comments and pages on the website can be shared through e mail, or through a variety o
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