Why the study?
Does hospital penalty status under the Hospital Readmission Reduction Program reduce 30-day all-cause unplanned readmission rates for target conditions in Medicare beneficiaries?
Population
20,351,161 Medicare fee-for-service beneficiaries older than 64 years discharged between January 1, 2008…
Comparison
Hospital penalty status under the Hospital… vs Hospitals not subject to financial penalties…
Design
Cohort
Follow-up
30-day
Key result
Hospital penalty status under the HRRP was associated with significantly faster declines in readmission rates for AMI (-1.24 percentage points/year; 95% CI -1.84 to -0.65) vs nonpenalized hospitals.
Authors
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Supports greater AMI readmission reductions at penalized hospitals; extends HRRP evaluations but leaves causality open.
Cohort (n=20,351,161)
Yes
Does hospital penalty status under the Hospital Readmission Reduction Program reduce 30-day all-cause unplanned readmission rates for target conditions in Medicare beneficiaries?
Effect estimate: AMI additional decrease -1.24 percentage points/year (95% CI -1.84 to -0.65)
p-value: p=<.001
Financial penalties under the HRRP were associated with significantly greater reductions in 30-day readmission rates for target conditions at penalized hospitals compared to nonpenalized hospitals.
Desai et al. (2016) conducted a cohort in Acute myocardial infarction, heart failure, and pneumonia (n=20,351,161). Hospital penalty status under the HRRP vs. Nonpenalty hospitals was evaluated on Thirty-day risk adjusted, all-cause unplanned readmission rates for target and nontarget conditions (AMI additional decrease -1.24 percentage points/year, 95% CI -1.84 to -0.65, p=<.001). Hospital penalty status under the HRRP was associated with significantly faster declines in readmission rates for AMI (-1.24 percentage points/year; 95% CI -1.84 to -0.65) vs nonpenalized hospitals.
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