Hospital Readmission Rates in Medicare Advantage and Traditional Medicare: A Retrospective Population-Based Analysis.

ABSTRACT:

Background

Medicare's Hospital Readmissions Reduction Program reports risk-standardized readmission rates for traditional Medicare but not Medicare Advantage beneficiaries.

Objective

To compare readmission rates between Medicare Advantage and traditional Medicare.

Design

Retrospective cohort study linking the Medicare Provider Analysis and Review (MedPAR) file with the Healthcare Effectiveness Data and Information Set (HEDIS).

Setting

4748 U.S. acute care hospitals.

Patients

Patients aged 65 years or older hospitalized for acute myocardial infarction (AMI) (n = 841 613), congestive heart failure (CHF) (n = 1 458 652), or pneumonia (n = 2 020 365) between 2011 and 2014.

Measurements

30-day readmissions.

Results

Among admissions for AMI, CHF,

SUBMITTER: Panagiotou OA 

PROVIDER: S-EPMC6736728 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature