Social Risk Adjustment In The Hospital Readmissions Reduction Program: A Systematic Review And Implications For Policy.

ABSTRACT: Value-based payment programs adjust payments to providers based on spending, quality, or health outcomes. Concern that these programs penalize providers disproportionately serving vulnerable patients prompted calls to adjust performance measures for social risk factors. We reviewed fourteen studies of social risk adjustment in Medicare's Hospital Readmissions Reduction Program (HRRP), a value-based payment model that initially did not adjust for social risk factors but subsequently began to do so. Seven studies found that adding social risk factors to the program's base risk-adjustment model (which adjusts only for age, sex, and comorbidities) reduced differences in risk-adjusted readmissions and penalties between safety-net hospitals and other hospitals. Three studies found that peer grou

SUBMITTER: Rogstad TL 

PROVIDER: S-EPMC9513720 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature