Hospitals
Hospitals
Hospitals
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Calculating the Spending Amount<br />
• Based on episodes of care 3 days prior to<br />
admission through 30 days post discharge<br />
• Includes all part A and B services (including outlier<br />
payments)<br />
• Utilizes Medicare Advantage risk-adjustment which<br />
adjusts for age and co-morbid conditions (HCCs)<br />
• Uses standardized pricing<br />
• Scores are calculated based on a hospitals’<br />
average spending across all eligible episodes<br />
compared to the national median<br />
2012 AAMC Annual Meeting
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