Key result
Among the highest-penalized hospitals, the pre-post HRRP decline in readmission rates was significantly less for hospitals serving a high versus low proportion of dual-eligible patients (P<0.0001).
Why the study?
Does the Hospital Readmissions Reduction Program reduce readmission rates differently in hospitals serving high versus low proportions of dual-eligible patients?
Population
Medicare fee-for-service beneficiaries aged 65 years or older discharged alive from January 1, 2003 to…
Comparison
Hospital Readmissions Reduction Program passage vs Pre-law period and comparison between hospitals…
Design
Cohort
Follow-up
January 1, 2003 to November 30, 2014
Authors
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High dual-eligible penalized hospitals showed smaller readmission improvements; leaves open whether HRRP exacerbates disparities in safety-net care.
Cohort
Yes
Does the Hospital Readmissions Reduction Program reduce readmission rates differently in hospitals serving high versus low proportions of dual-eligible patients?
The Hospital Readmissions Reduction Program may disproportionately disadvantage hospitals serving poorer populations, as highly penalized hospitals with high proportions of dual-eligible patients showed less improvement in readmission rates.
Wasfy et al. (2019) conducted a cohort in Acute myocardial infarction, congestive heart failure, and pneumonia. High proportion of dual-eligible patients vs. Low proportion of dual-eligible patients was evaluated on Decrease in hospital-level risk-standardized readmission rates (RSRRs) in the post-law period. Among the highest-penalized hospitals, the pre-post HRRP decline in readmission rates was significantly less for hospitals serving a high versus low proportion of dual-eligible patients (P<0.0001).
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