Association of Inclusion of Medicare Advantage Patients in Hospitals' Risk-Standardized Readmission Rates, Performance, and Penalty Status.

ABSTRACT:

Importance

The Hospital Readmissions Reduction Program publicly reports and financially penalizes hospitals according to 30-day risk-standardized readmission rates (RSRRs) exclusively among traditional Medicare (TM) beneficiaries but not persons with Medicare Advantage (MA) coverage. Exclusively reporting readmission rates for the TM population may not accurately reflect hospitals' readmission rates for older adults.

Objective

To examine how inclusion of MA patients in hospitals' performance is associated with readmission measures and eligibility for financial penalties.

Design, setting, and participants

This is a retrospective cohort study linking the Medicare Provider Analysis and Review file with the Healthcare Effectiveness Data and Information Set at 4070 US acut

SUBMITTER: Panagiotou OA 

PROVIDER: S-EPMC7890527 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature