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The Impact of the Hospital Readmissions Reduction Program across Insurance Types in California
Author(s) -
Zingmond David S.,
Liang LiJung,
Parikh Punam,
Escarce José J.
Publication year - 2018
Publication title -
health services research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.706
H-Index - 121
eISSN - 1475-6773
pISSN - 0017-9124
DOI - 10.1111/1475-6773.12869
Subject(s) - medicine , emergency medicine , pneumonia , incentive , hospital readmission , medical emergency , economics , microeconomics
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.