Association between Medicare's Hospital Readmission Reduction Program and readmission rates across hospitals by medicare bed share.

ABSTRACT:

Background

Medicare's Hospital Readmissions Reduction Program (HRRP), implemented beginning in 2013, seeks to incentivize Inpatient Prospective Payment System (IPPS) hospitals to reduce 30-day readmissions for selected inpatient cohorts including acute myocardial infarction, heart failure, and pneumonia. Performance-based penalties, which take the form of a percentage reduction in Medicare reimbursement for all inpatient care services, have a risk of unintended financial burden on hospitals that care for a larger proportion of Medicare patients. To examine the role of this unintended risk on 30-day readmissions, we estimated the association between the extent of their Medicare share of total hospital bed days and changes in 30-day readmissions.

Methods

We used publicly avail

SUBMITTER: Banerjee S 

PROVIDER: S-EPMC7980319 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature