Key result
The Hospital Readmissions Reduction Program disproportionately penalizes hospitals with a high share of dual-eligible patients, as current methodology does not adjust for socioeconomic status.
Why the study?
Does the Hospital Readmissions Reduction Program disproportionately penalize hospitals serving vulnerable (high-dual) populations?
Population
Hospitals serving Medicare patients, categorized by their share of dual-eligible Medicare discharges
Comparison
Hospital Readmissions Reduction Program (HRRP) vs Low-dual hospitals
Design
Cross-sectional
Authors
Loading...
May impose unintended financial penalties on safety-net hospitals; leaves open whether SES adjustment would reduce HRRP disparities.
Observational
Yes
Does the Hospital Readmissions Reduction Program disproportionately penalize hospitals serving vulnerable (high-dual) populations?
The HRRP may have unintended financial consequences for hospitals serving vulnerable populations because current CMS methodology does not adjust for socioeconomic status.
Gu et al. (2014) conducted an observational in Hospital readmissions. Hospital Readmissions Reduction Program (HRRP) vs. Low-dual hospitals was evaluated on Risk-adjusted hospital readmission rates and financial penalties. The Hospital Readmissions Reduction Program disproportionately penalizes hospitals with a high share of dual-eligible patients, as current methodology does not adjust for socioeconomic status.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: