Misclassification of Hospital Performance Under the Hospital Readmissions Reduction Program: Implications for Value-Based Programs.

ABSTRACT:

Importance

The Centers for Medicare and Medicaid Services (CMS) use point estimates of 30-day risk-standardized readmission rates (RSRRs) to compare hospitals under the Hospital Readmissions Reduction Program (HRRP). An important characteristic of this measure is that it is a point estimate with a margin of error, which may affect the CMS's ability to accurately evaluate and distinguish hospital performance in the program.

Objective

To determine the number and percentage of hospitals with a penalty status misclassified under the HRRP.

Design, setting, and participants

This cross-sectional study used the bayesian deconvolution method to estimate the rate of penalty status misclassification for hospitals participating in the HRRP in fiscal year 2019, using data from the

SUBMITTER: Shen C 

PROVIDER: S-EPMC7557505 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature