Further Evidence on the System-Wide Effects of the Hospital Readmissions Reduction Program.

ABSTRACT:

Objective

To investigate the potential spillover effects of the Hospital Readmissions Reduction Program (HRRP) on readmissions for nontargeted conditions and patient populations. We examine HRRP effects on nontargeted conditions separately and on non-Medicare populations in Florida and California.

Data sources

From 2007-2013, 100 percent Medicare inpatient claims data, 2007-2013 State Inpatient Database (SID) for Florida, and 2007-2011 SID for California.

Study design

We conducted an interrupted time series analysis to estimate the change in 30-day all-cause unplanned readmission trends after the start of HRRP using logistic regression.

Principal findings

Hospitals with the largest reductions in targeted Medicare readmissions experienced higher reductions in no

SUBMITTER: Demiralp B 

PROVIDER: S-EPMC5980263 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature