TABLE 3.

Volume, reimbursement and quality metrics by hospital

Publicly Available Quality Ratings	Risk Averse (n=7)	Not Risk Averse (n=11)	p-value
Medicare Hospital Rating			0.688
1 star	0 (0%)	0 (0%)
2 star	2 (29%)	2 (18%)
3 star	3 (43%)	7 (64%)
4 star	2 (29%)	2 (18%)
5 star	0 (0%)	0 (0%)
STS CABG Rating			0.858
1 star	0 (0%)	0 (0%)
2 stars	3 (75%)	4 (80%)
3 stars	1 (25%)	1 (20%)
STS AVR Rating			0.257
1 star	0 (0%)	0 (0%)
2 stars	3 (100%)	4 (67%)
3 stars	0 (0%)	2 (33%)
STS CABG/AVR Rating			0.145
1 star	0 (0%)	0 (0%)
2 stars	3 (100%)	2 (50%)
3 stars	0 (0%)	2 (50%)
Medicare Penalties
2017 HACRP Scores	6.23 ± 1.07	6.39 ± 0.95	0.754
Change in HACRP score	0.86 ± 2.19	−0.11 ± 1.61	0.330
HACRP penalty	3 (42.9%)	5 (45.5%)	0.914
2017 HVBP adjustment	0.999 ± 0.004	1.000 ± 0.006	0.654
2017 HVBP penalty	3 (42.9%)	5 (45.5%)	0.914
HVBP adjustment trend	−0.0025 ± 0.0035	−0.0005 ± 0.0052	0.384
2017 HRRP adjustment	0.991 ± 0.009	0.993 ± 0.007	0.640
2017 HRRP penalty	6 (85.7%)	11 (100%)	0.197
HRRP adjustment trend	−0.0084 ± 0.0089	−0.0024 ± 0.0088	0.177

Hospital-acquired condition reduction program = HACRP; Hospital value-based purchasing program = HVBP; Hospital readmission reduction program = HRRP