Mandatory Value-Based Payment Programs and Hospital Administrative Costs

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Explores the association between hospital participation in mandatory value-based payment programs and hospital administrative costs. Analyzes Medicare cost report data from 2006 to 2020 to examine hospital administrative costs before and during implementation of four mandatory programs: the Hospital Value-Based Purchasing (HVBP) program, the Hospital Readmissions Reduction Program (HRRP), the Hospital-Acquired Condition Reduction Program (HACRP), and the Comprehensive Care for Joint Replacement (CJR) model. Compares data from participating hospitals to data from nonparticipating hospitals, including general acute care hospitals in Maryland that were paid under Maryland's all-payer model, Critical Access Hospitals, and long-term care hospitals.

Zehui Zhou, Jason D. Buxbaum, Andrew M. Ryan

JAMA Health Forum, 7(8), e262503

08/2026

Critical Access Hospitals · Hospitals · Long-term care · Medicare · Reimbursement and payment models · Service delivery models · Statistics and data · Maryland