Berenson Julia, Shih Anthony
The Commonwealth Fund, USA.
Issue Brief (Commonw Fund). 2012 Dec;34:1-16.
The Hospital Readmissions Reduction Program (HRRP), established by the Affordable Care Act, ties a hospital's payments to its readmission rates--with penalties for hospitals that exceed a national benchmark--to encourage hospitals to reduce avoidable readmissions. This new Commonwealth Fund analysis uses publicly reported 30-day hospital readmission rate data to examine whether safety-net hospitals are more likely to have higher readmission rates, compared with other hospitals. Results of this analysis find that safety-net hospitals are 30 percent more likely to have 30-day hospital readmission rates above the national average, compared with non-safety-net hospitals, and will therefore be disproportionately impacted by the HRRP. Policy solutions to help safety-net hospitals reduce their readmission rates include targeting quality improvement initiatives for safety-net hospitals; ensuring that broader delivery system improvements include safety-net hospitals and care delivery systems; and enhancing bundled payment rates to account for socioeconomic risk factors.
《平价医疗法案》设立的医院再入院率降低计划（HRRP）将医院的支付与其再入院率挂钩——对超过全国基准的医院进行处罚——以鼓励医院减少可避免的再入院情况。英联邦基金会的这项新分析利用公开报告的30天医院再入院率数据，研究安全网医院与其他医院相比，是否更有可能出现较高的再入院率。该分析结果发现，与非安全网医院相比，安全网医院的30天医院再入院率高于全国平均水平的可能性要高30%，因此将受到HRRP的影响更大。帮助安全网医院降低其再入院率的政策解决方案包括针对安全网医院开展质量改进举措；确保更广泛的医疗服务体系改进涵盖安全网医院和医疗服务提供系统；以及提高捆绑支付率以考虑社会经济风险因素。
