Health Equity Adjustment and Hospital Performance in the Medicare Value-Based Purchasing Program

JAMA NetworkMichael Liu, MPhil, Sahil Sandhu, MSc, Karen E. Joynt Maddox, MD, MPHMarch 27, 2024

Medicare’s Hospital Value-Based Purchasing (HVBP) program will provide a health equity adjustment (HEA) to hospitals that have greater proportions of patients dually eligible for Medicare and Medicaid and that offer high-quality care beginning in fiscal year 2026. However, which hospitals will benefit most from this policy change and to what extent are unknown.

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