Navigation Link
Health Insurance
Basic InformationLatest News
Friday Is the Deadline for Obamacare 2018CVS-Aetna Merger Has Implications for Doctors' OfficesInsurance Ups the Odds of Beating CancerAs Tax Bill Unfolds, What's In Store for Obamacare's Individual Mandate?Will CVS-Aetna Merger Mean Cheaper Health Care?Differences in Cancer Survival by Type of InsurancePreventive Care for Adolescents Up Since ACA ImplementationNot 'Dead' Yet: Obamacare 2018 Sign-up Has BegunMany U.S. Cities Lack Health Insurance CompetitionObamacare Widened Access to Cancer CareMost Americans Shouldn't See Big Rise in Obamacare PremiumsTrump Signs Executive Order That Could Undermine ObamacareWhite House to Roll Back Birth Control Mandate in Employers' Health Care PlansInsurance Type Linked to Surgery Delay in MelanomaThe Unexpected Faces of the UninsuredFewer Uninsured Cancer Patients After Medicaid ExpansionRepublicans Abandon Health Reform BillAnother GOP Senator Says No to Latest Obamacare Repeal EffortInsurer Market Power Lowers Providers' PricesNarrow Networks in ACA Marketplace for Mental HealthHidden Gems in Your Health Insurance PlanNearly 25 Million U.S. Workers Now Have High-Deductible Health PlansRepublicans Take Another Run at Obamacare OverhaulObamacare Paid Off for Poorer Cancer PatientsMost People Not Bargain Hunters When It Comes to Health CareSenate Says No to 'Skinny' Obamacare Repeal BillNew Alcohol Screening, Brief Intervention Manual DevelopedSenate Rejects Repeal of Obamacare Without ReplacementSenate Prepares for Health Care VoteInsured, But Still Barred From Top-Tier Cancer CentersAs Efforts to Repeal Obamacare Fail, Future of Health Care Reform in LimboRevised Senate Bill Would Allow Bare-Bones Health PlansAmerican Adults Without Health Insurance Rises by Two MillionLack of Health Insurance Can Shorten Lives: StudySenate GOP Leaders Delay Vote on Health Reform BillSome Republicans Voice Concerns About Senate Replacement for ObamacareSenate Republicans Reveal Their Replacement for ObamacareHealth Insurers Recruiting Former Pharma Reps to Cut CostsLeading Medical Groups Mobilize Against Obamacare RepealUncertainty for Obamacare Plans as Filing Deadline Approaches4 in 10 Job-Based Health Plans in U.S. Are Now 'High-Deductible'High-Risk Pools May Represent Step Back for U.S. Health CareCBO: 23 Million Would Lose Health Insurance Under House Health Care BillObamacare a Win-Win for Poorer Adults: StudyCDC: Slowing of Decline in Number of Uninsured AdultsPeople With Pre-Existing Health Issues Fear Repeal-and-Replace BillIncreases in Rates of Insured Don't Harm Continuously InsuredGOP Health Reform Push Faces Uncertain Future in the SenateHouse OKs Republican Health Care BillAmericans Uneasy With Push to Repeal Obamacare: HealthDay/Harris Poll
Questions and AnswersLinksBook Reviews
Related Topics

Health Policy & Advocacy
Workplace and Career Issues

Penalties Under ACA Tied to Drop in Medicare Readmission Rates

HealthDay News
Updated: Dec 28th 2016

new article illustration

WEDNESDAY, Dec. 28, 2016 (HealthDay News) -- Passage of the Medicare Hospital Readmissions Reduction Program (HRRP) under the Affordable Care Act is associated with a more rapid decrease in 30-day risk-standardized readmission rates (RSRRs), according to a study published online Dec. 27 in the Annals of Internal Medicine.

Jason H. Wasfy, M.D., M.Phil., from Massachusetts General Hospital in Boston, and colleagues examined whether passage of the HRRP correlated with acceleration in improvement in 30-day RSRRs after hospitalization for acute myocardial infarction, congestive heart failure, or pneumonia. Data were included for 15,170,008 Medicare patients discharged alive from 2000 to 2013. Thirty-day readmission rates were assessed after hospitalization at hospitals stratified by hospital performance: highest performance (0 percent penalty), average performance (>0 percent and <0.50 percent penalty), low performance (≥0.5 percent and <0.99 percent penalty), and lowest performance (≥0.99 percent penalty).

The researchers found that, of the 2,868 hospitals serving 1,109,530 Medicare discharges annually, 30.1, 44.0, 16.8, and 9.0 percent were highest, average, low, and lowest performers, respectively. After passage of the law, an additional 67.6, 74.8, 85.4, and 95.1 readmissions per 10,000 discharges were averted per year in the highest-, average-, low-, and lowest-performance groups, respectively, after controlling for prelaw trends.

"After passage of the HRRP, 30-day RSRRs for myocardial infarction, heart failure, and pneumonia decreased more rapidly than before the law's passage," the authors write.

Full Text (subscription or payment may be required)