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January 1, 2016Health Affairs

Understanding Medicare Hospital Readmission Rates And Differing Penalties Between Safety-Net And Other Hospitals

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Key result

Safety-net hospitals experienced only slightly higher readmission penalties than other hospitals, with patient socioeconomic status explaining some of the difference in readmission rates.

Why the study?

Do patient socioeconomic status and hospital-level factors explain differences in readmission rates and penalties between safety-net and other hospitals under Medicare's Hospital Readmissions Reduction Program?

Population

Safety-net and other hospitals under Medicare's Hospital Readmissions Reduction Program

Comparison

Medicare's Hospital Readmissions Reduction Program vs Other hospitals (non-safety-net)

Design

Other

Authors

SSSteven H. SheingoldOffice of the Assistant Secretary for Planning and EvaluationRZRachael B. ZuckermanAmerican Medical Group AssociationASAdele ShartzerKaiser Family Foundation

Discussion

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Member takes

Implication

Current HRRP penalties impose modest burden on safety-net hospitals; supports SES adjustment in metrics but leaves open effects of targeted interventions.

Study Design

Type

Observational

Multicenter

Yes

Structured PICO

Do patient socioeconomic status and hospital-level factors explain differences in readmission rates and penalties between safety-net and other hospitals under Medicare's Hospital Readmissions Reduction Program?

P
Population
Safety-net and other hospitals under Medicare's Hospital Readmissions Reduction Program
E
Exposure
Medicare's Hospital Readmissions Reduction Program
C
Comparator
Other hospitals (non-safety-net)
O
Outcome
Differences in readmission rates and penalties

Patient socioeconomic status partially explains higher readmission rates at safety-net hospitals, but these hospitals face only slightly higher penalties under Medicare's program.

Limitations

  • Unmeasured factors such as hospitals' performance may also play a role in readmission rate differences

Cite This Study

Sheingold et al. (2016) conducted an observational in Hospital readmissions. Safety-net hospital status vs. Other hospitals was evaluated on Differences in readmission rates and penalties. Safety-net hospitals experienced only slightly higher readmission penalties than other hospitals, with patient socioeconomic status explaining some of the difference in readmission rates.

synapsesocial.com/papers/6a20d3fa920f77b2c049c866https://doi.org/10.1377/hlthaff.2015.0534
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