Key result
The Hospital Readmissions Reduction Program was associated with reduced 30-day readmissions for heart attack, heart failure, and pneumonia among Medicare FFS and Managed Care patients.
Why the study?
Does the Hospital Readmissions Reduction Program (HRRP) reduce 30-day readmission rates in insured adults hospitalized for heart attack, heart failure, and pneumonia?
Observational
Yes
Does the Hospital Readmissions Reduction Program (HRRP) reduce 30-day readmission rates in insured adults hospitalized for heart attack, heart failure, and pneumonia?
The Hospital Readmissions Reduction Program was associated with reduced 30-day readmissions for Medicare FFS and Managed Care patients, suggesting system-wide impacts beyond traditional Medicare.
Answers are grounded in this paper and cite their sources.
May indicate HRRP effects on readmissions extend beyond traditional Medicare; extends prior associations to Managed Care but leaves causality open.
OBJECTIVE: Examine 30-day readmission rates for indicator conditions before and after adoption of the Hospital Readmissions Reduction Program (HRRP). DATA: California hospital discharge data, 2005 to 2014. STUDY DESIGN: Estimated difference between pre-HRRP trends and post-HRRP rates of hospital readmissions after hospitalization for indicator conditions targeted by the HRRP (heart attack, heart failure, and pneumonia) by payer among insured adults. PRINCIPAL FINDINGS: Post-HRRP, reductions occurred for the three conditions among Fee-for-Service (FFS) Medicare. Readmissions decreased for heart attack and heart failure in Medicare Managed Care (MC). No reductions were observed in the younger commercially insured. CONCLUSIONS: Post-HRRP, greater than expected reductions occurred in rehospitalizations for patients with Medicare FFS and Medicare MC. HRRP incentives may be influencing system-wide changes influencing care outside of traditional Medicare.
No takes yet. Share an insight, caveat, or question.
Zingmond et al. (2018) conducted an observational in Heart attack, heart failure, and pneumonia. Hospital Readmissions Reduction Program (HRRP) vs. Pre-HRRP trends was evaluated on 30-day readmission rates. The Hospital Readmissions Reduction Program was associated with reduced 30-day readmissions for heart attack, heart failure, and pneumonia among Medicare FFS and Managed Care patients.
Synapse has enriched 10 related papers. Consider them for comparative context: