Association Between Hospital Penalty Status Under the Hospital Readmission Reduction Program and Readmission Rates for Target and Nontarget Conditions.

ABSTRACT:

Importance

Readmission rates declined after announcement of the Hospital Readmission Reduction Program (HRRP), which penalizes hospitals for excess readmissions for acute myocardial infarction (AMI), heart failure (HF), and pneumonia.

Objective

To compare trends in readmission rates for target and nontarget conditions, stratified by hospital penalty status.

Design, setting, and participants

Retrospective cohort study of Medicare fee-for-service beneficiaries older than 64 years discharged between January 1, 2008, and June 30, 2015, from 2214 penalty hospitals and 1283 nonpenalty hospitals. Difference-interrupted time-series models were used to compare trends in readmission rates by condition and penalty status.

Exposure

Hospital penalty status or target conditi

SUBMITTER: Desai NR 

PROVIDER: S-EPMC5599851 | biostudies-literature | 2016 Dec

REPOSITORIES: biostudies-literature