A path forward on Medicare readmissions.

  title={A path forward on Medicare readmissions.},
  author={Karen E. Joynt and Ashish Kumar Jha},
  journal={The New England journal of medicine},
  volume={368 13},
  • K. JoyntA. Jha
  • Published 27 March 2013
  • Medicine
  • The New England journal of medicine
Under Medicare's Hospital Readmissions Reduction Program, two thirds of U.S. hospitals will receive penalties of up to 1% of Medicare reimbursements. But the program could exacerbate disparities in care and create disincentives to providing care for the very ill. 

Variation in Facility-Level Rates of All-Cause and Potentially Preventable 30-Day Hospital Readmissions Among Medicare Fee-for-Service Beneficiaries After Discharge From Postacute Inpatient Rehabilitation

This cohort study examines the differences between 2 Centers for Medicare & Medicaid Services measures for 30-day rehospitalization after discharge from postacute inpatient rehabilitation.

Hospital Readmission Following Thoracic Surgery.

Medicare readmission penalties in Detroit.

The Affordable Care Act stipulates that hospitals will be subject to readmission penalties. Hospitals in Detroit, a city in bankruptcy, were subject to high readmission penalties in 2013 and 2014.

Health Affairs Are Achieving Their Goals Assessing Medicare ' s Hospital Pay-For-Performance Programs And Whether They and Samantha Burch

Interactions among these pay-for-performance programs should be considered going forward, including overlap among measures and differences in scoring.

Assessing Medicare's hospital pay-for-performance programs and whether they are achieving their goals.

Three separate pay-for-performance programs affect the amount of Medicare payment for inpatient services to about 3,400 US hospitals, including overlap among measures and differences in scoring performance.

The Effect of Medicare Shared Savings Program on Readmissions and Variations by Race/Ethnicity and Payer Status (December 9, 2020).

It is suggested that MSSP Accountable Care Organizations may take at least 3 years to achieve reduced readmissions and may increase disparities by payer status.

Does a Reduction in Readmissions Result in Net Savings for Most Hospitals? An Examination of Medicare’s Hospital Readmissions Reduction Program

The economic case for investments in a readmission reduction effort was strong overall, with the possible exception of hospitals with low excess readmissions.

Predictors and costs of readmissions at an academic head and neck surgery service

The purpose of this study was to determine the rate, predictors, and costs of 30‐day unplanned readmissions in patients who undergo head and neck surgery.

Hospital Readmissions Reduction Program: Safety-Net Hospitals Show Improvement, Modifications To Penalty Formula Still Needed.

The fundamental question of whether the HRRP has been an effective tool for reducing thirty-day readmissions in safety-net hospitals is addressed and it appears that safety-nets hospitals have been able to respond to HRRP incentives.

Assessment of Hospital Readmissions From the Emergency Department After Implementation of Medicare’s Hospital Readmissions Reduction Program

It is suggested that the Hospital Readmissions Reduction Program was associated with changes in the probability of readmission for certain conditions, highlighting the critical and evolving role of the ED in hospital readmission patterns.



Refining the Hospital Readmissions Reduction Program Refining the Hospital Readmissions Reduction Program Chapter Summary

  • Medicine, Political Science
In 2008, the Commission reported on a series of payment reforms to encourage care coordination among physicians, hospital administration, and providers outside the hospital. These initiatives

Characteristics of hospitals receiving penalties under the Hospital Readmissions Reduction Program.

This study examines the risk of penalties for US hospitals that care for medically complex or socioeconomically vulnerable patients, namely large teaching hospitals and safetynet hospitals and found that large hospitals, teaching hospitals, and SNHs are more likely to receive payment cuts under the HRRP.

Public reporting of discharge planning and rates of readmissions.

The findings suggest that current efforts to collect and publicly report data on discharge planning are unlikely to yield large reductions in unnecessary readmissions.

Palliative care consultation teams cut hospital costs for Medicaid beneficiaries.

Patients facing serious or life-threatening illnesses account for a disproportionately large share of Medicaid spending, and it is estimated that the reductions in Medicaid hospital spending in New York State could eventually range from $84 million to $252 million annually if every hospital with 150 or more beds had a fully operational palliative care consultation team.

Postdischarge environmental and socioeconomic factors and the likelihood of early hospital readmission among community-dwelling Medicare beneficiaries.

Findings suggest that PDE and SES factors are associated with early readmission and may enhance the targeting of pre-discharge and postdischarge interventions to avert early readmissions.

Faculty development to change the paradigm of communication skills teaching in oncology.

Dr B, a faculty oncologist supervising fellows at an outpatient oncology clinic, faces a common teaching quandary. A second-year oncology fellow presents a patient with metastatic lung cancer, which

An integrated biopsychosocial approach to palliative care training of medical students.

This report intends to illustrate a process of incremental curriculum building, and to generate some fresh teaching ideas from which palliative care educators can select depending on their own curricular needs and objectives.

Relationship between hospital readmission and mortality rates for patients hospitalized with acute myocardial infarction, heart failure, or pneumonia.

Although there was a significant negative linear relationship between RSMRs and RSRRs for heart failure, the shared variance between them was only 2.9% and the results were similar for subgroups defined by hospital characteristics.