Under an interim final rule released in August, CMS did not use quality data from January 1 through June 30. CMS said it used October data to calculate April 2021 overall star ratings.Īmerican Hospital Association Senior Vice President, Public Policy Analysis and Development Ashley Thompson said, "Today's star ratings update is an improvement that will likely make the ratings more useful for both patients and hospitals. The revised methodology was finalized in the 2021 outpatient prospective payment system final rule.ĬMS did not update the hospital star ratings this past January, so as to allow time to review comments and finalize proposed changes to the new star ratings methodology. The star ratings includes a variety of the more than 100 measures CMS publicly reports, divided into five measure groups or categories. Mortality is weighted at 22%, safety at 22%, readmission at 22%, patient experience at 22%, and timely and effective care at 12%. Not all hospitals report all measures, so some hospitals may not be eligible.įor each hospital, a summary score is calculated by taking the weighted average of the hospital's scores for each measure group or category. Only hospitals that have at least three measures within three measure groups, with at least one of those groups being mortality or safety of care, are eligible for an overall star rating. New methodology measure groups are for mortality, safety of care, readmission, patient experience and timely and effective care. Once reporting thresholds are met, a hospital's overall star rating is calculated using only those measures for which data are available. The star rating summarizes a variety of measures across five areas of quality into a single star rating for each hospital. Star ratings for hospitals are not directly related to financial reimbursement, but many of the measures used to determine the overall star ratings are also used in other programs, such as the Hospital Value-Based Purchasing Program, that do directly affect reimbursement. Another 1,761 had no rating information available.ĬMS uses star ratings for its Compare website for consumers to choose highly rated hospitals and other providers in their area. This compares to January 2020 data, when of the 5,340 hospitals listed, 396 received five stars 1,132 received four stars 1,108 got three stars 710 received two stars and 226 got one star. Of 4,586 hospitals, 13.5%, or 455 hospitals, received five stars 988 received four stars 1,018 received three stars 690 received two stars and 204 received one star.įor more than a quarter of hospitals, 1,181, no information was available. The Centers for Medicare and Medicaid Services on Wednesday released the overall hospital quality star ratings that now include new methodology in five measure groups.ĬMS rated over 4,500 hospitals from one to five stars, with five representing the highest quality rating.
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