Excess Readmission vs Excess Penalties: Maximum Readmission Penalties as a Function of Socioeconomics and Geography.

ABSTRACT:

Background

The Hospital Readmission Reduction Program (HRRP) penalizes hospitals with "excess" readmissions up to 3% of Medicare reimbursement. Approximately 75% of eligible hospitals received penalties, worth an estimated $428 million, in fiscal year 2015.

Objective

To identify demographic and socioeconomic disparities between matched and localized maximum-penalty and no-penalty hospitals.

Design

A case-control study in which cases included were hospitals to receive the maximum 3% penalty under the HRRP during the 2015 fiscal year. Controls were drawn from no-penalty hospitals and matched to cases by hospital characteristics (primary analysis) or geographic proximity (secondary analysis).

Setting

A selectiion of 3383 US hospitals eligible for HRRP.

Particip

SUBMITTER: Caracciolo C 

PROVIDER: S-EPMC6091554 | biostudies-literature | 2017 Aug

REPOSITORIES: biostudies-literature