Association of Stratification by Dual Enrollment Status With Financial Penalties in the Hospital Readmissions Reduction Program.

ABSTRACT:

Importance

Beginning in fiscal year 2019, Medicare's Hospital Readmissions Reduction Program (HRRP) stratifies hospitals into 5 peer groups based on the proportion of each hospital's patient population that is dually enrolled in Medicare and Medicaid. The effect of this policy change is largely unknown.

Objective

To identify hospital and state characteristics associated with changes in HRRP-related performance and penalties after stratification.

Design, setting, and participants

A cross-sectional analysis was performed of all 3049 hospitals participating in the HRRP in fiscal years 2018 and 2019, using publicly available data on hospital penalties, merged with information on hospital characteristics and state Medicaid eligibility cutoffs.

Exposures

The HRRP, un

SUBMITTER: Joynt Maddox KE 

PROVIDER: S-EPMC6547154 | biostudies-literature | 2019 Jun

REPOSITORIES: biostudies-literature