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The Impact of the Hospital Readmissions Reduction Program across Insurance Types in California.


ABSTRACT: 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.

SUBMITTER: Zingmond DS 

PROVIDER: S-EPMC6232438 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature

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The Impact of the Hospital Readmissions Reduction Program across Insurance Types in California.

Zingmond David S DS   Liang Li-Jung LJ   Parikh Punam P   Escarce José J JJ  

Health services research 20180508 6


<h4>Objective</h4>Examine 30-day readmission rates for indicator conditions before and after adoption of the Hospital Readmissions Reduction Program (HRRP).<h4>Data</h4>California hospital discharge data, 2005 to 2014.<h4>Study design</h4>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.<h4>Principal findings</h4>P  ...[more]

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