Evaluation of US Hospital Episode Spending for Acute Inpatient Conditions After the Patient Protection and Affordable Care Act.

ABSTRACT:

Importance

Under the Patient Protection and Affordable Care Act (ACA), US hospitals were exposed to a number of reforms intended to reduce spending, many of which, beginning in 2012, targeted acute care hospitals and often focused on specific diagnoses (eg, acute myocardial infarction, heart failure, and pneumonia) for Medicare patients. Other provisions enacted in the ACA and under budget sequestration (beginning in 2013) mandated Medicare fee cuts.

Objective

To evaluate the association between the enactment of ACA reforms and 30-day price-standardized hospital episode spending.

Design, setting, and participants

This policy evaluation included index discharges between January 1, 2008, and August 31, 2015, from a national random 20% sample of Medicare beneficiaries. D

SUBMITTER: Ibrahim AM 

PROVIDER: S-EPMC7684450 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature