How Have 30-Day Readmission Penalties Affected Racial Disparities in Readmissions?: an Analysis from 2007 to 2014 in Five US States.

ABSTRACT:

Background

Thirty-day readmission penalties implemented with the Hospital Readmission Reduction Program (HRRP) place a larger burden on safety-net hospitals which treat a disproportionate share of racial minorities, leading to concerns that already large racial disparities in readmissions could widen.

Objective

To examine whether there were changes in Black-White disparities in 30-day readmissions for acute myocardial infarction (AMI), congestive heart failure (CHF), or pneumonia following the passage and implementation of HRRP, and to compare disparities across safety-net and non-safety-net hospitals.

Design

Repeated cross-sectional analysis, stratified by safety-net status.

Subjects

1,745,686 Medicare patients over 65 discharged alive from hospitals in 5 US s

SUBMITTER: Kaplan CM 

PROVIDER: S-EPMC6544695 | biostudies-literature | 2019 Jun

REPOSITORIES: biostudies-literature