Value-Based Purchasing (VBP) Program

A healthcare payment model that links financial incentives or penalties to the quality and efficiency of care provided by healthcare providers, encouraging the delivery of high-value healthcare services.

 

Quality Measures:

Metrics and indicators used to assess the effectiveness, safety, and overall quality of healthcare services within a Value-Based Purchasing program.

 

Performance Score:

A numerical representation of a healthcare provider’s performance in meeting specified quality measures within the VBP Program, influencing reimbursement and financial incentives.

 

Reimbursement Incentives:

Financial rewards provided to healthcare providers based on their performance in achieving or exceeding quality and efficiency targets within the VBP Program.

 

Payment Adjustment:

Changes made to the reimbursement rates for healthcare services based on a provider’s performance in the VBP Program, reflecting financial incentives or penalties.

 

Benchmarking:

The comparison of a healthcare provider’s performance against established benchmarks or industry standards within the VBP Program, helping to identify areas for improvement.

 

Pay-for-Performance (P4P):

A reimbursement model within Value-Based Purchasing where healthcare providers receive financial incentives based on their performance in achieving predefined quality and efficiency metrics.

 

Episode-of-Care Payments:

A reimbursement approach within the VBP Program where a single payment covers all services related to a specific episode of care, promoting cost efficiency and coordination.

 

Risk Adjustment:

A method used within the VBP Program to account for differences in patient populations and their health risks, ensuring fair and accurate assessments of provider performance.

 

Patient Satisfaction Scores:

Metrics used to evaluate the level of satisfaction among patients receiving healthcare services, often considered in the VBP Program as part of the overall quality assessment.