Key result
Minority-serving hospitals performing CABG were projected to be almost twice as likely to receive readmission penalties compared to non-minority-serving hospitals (61% vs 32%).
Why the study?
Do readmission penalties under the Hospital Readmissions Reduction Program disproportionately affect minority-serving hospitals performing CABG?
Population
National Medicare beneficiaries undergoing coronary artery bypass grafting in 2008 to 2010.
Comparison
Minority-serving hospitals vs Non-minority-serving hospitals
Design
Cohort
Authors
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May warrant caution expanding HRRP penalties to CABG at minority-serving hospitals; observational data leave open whether risk adjustment equalizes rates.
Observational (n=255,250)
Yes
Do readmission penalties under the Hospital Readmissions Reduction Program disproportionately affect minority-serving hospitals performing CABG?
Absolute Event Rate: 61% vs 32%
Expanding the Hospital Readmissions Reduction Program to cardiac surgery may disproportionately penalize minority-serving hospitals, potentially impacting care for disadvantaged patients.
Shih et al. (2014) conducted an observational in Coronary artery bypass grafting (CABG) (n=255,250). Minority-serving hospital status vs. Non-minority-serving hospital status was evaluated on Projected readmission penalties. Minority-serving hospitals performing CABG were projected to be almost twice as likely to receive readmission penalties compared to non-minority-serving hospitals (61% vs 32%).
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