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OCA outlines hospital measurement method; hospitals and some systems press for data transparency and corrections
Summary
OCA described a combined inpatient and outpatient approach to measuring hospital prices and told the Board it will use hospital financial disclosures and an outpatient intensity adjustment factor under development; hospitals and associations pressed staff for clarity about the outpatient data source and raised concerns about recent identification
The Office of Health Care Affordability (OCA) presented its approach for measuring hospital spending and monitoring hospitals against the statewide spending target, and said it would combine inpatient unit‑price measures with an adjusted outpatient price per visit. OCA staff said hospital inpatient spending will be calculated as net inpatient revenue per case‑mix adjusted discharge and outpatient spending as net outpatient revenue per adjusted outpatient visit, using HCAI hospital financial disclosures and an ‘‘outpatient intensity adjustment’’ derived from claims and encounter data.
Why it matters: The measurement approach will be used to identify high‑cost hospitals and to inform…
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