Author ORCID Identifier

Date of Award

Fall 12-17-2020

Degree Type


Degree Name

Doctor of Business Administration (DBA)



First Advisor

Dr. Subhashish Samaddar

Second Advisor

Dr. Satish Nargundkar

Third Advisor

Dr. Aaron Baird


Healthcare systems have interrelated, collaborative, and interdependent elements from the human aspects to facilities geared towards providing people with medical care. This dissertation explores healthcare reform in the context of hospital value-based purchasing programs. Hospital performance is a byproduct of a hospital’s characteristics, demonstrated through organizational behavior—a key driver towards an institution’s overall success and sustainability. Hospital value-based purchasing (VBP) program is a Centers for Medicare & Medicaid services (CMS) initiative that rewards acute-care hospitals with incentivized payments for the quality care provided to Medicare beneficiaries ((HHS), 2017). The program adopts a philosophy of measurement and promotes an appraisal mechanism to provide equitable reimbursement for patient care; however, the program has had a marginal influence on hospital performance. The study aimed to assess hospital performance ‘VBP program’ and provide a prescriptive guide to decision-makers. Secondary data from 2,786 acute care hospitals across the united states, which offers inpatient services to Medicare beneficiaries, has been used. Statistical significance was measured by applying bivariate and multivariate regression. The findings showed that teaching intensity, hospital size, and case mix index had an impact on hospital performance.


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