Readmission Rates After Passage of the Hospital Readmissions Reduction Program: A Pre-Post Analysis.

BACKGROUND

Whether hospitals with the highest risk-standardized readmission rates (RSRRs) subsequently experienced the greatest improvement after passage of the Medicare Hospital Readmissions Reduction Program (HRRP) is unknown.

OBJECTIVE

To evaluate whether passage of the HRRP was followed by acceleration in improvement in 30-day RSRRs after hospitalizations for acute myocardial infarction (AMI), congestive heart failure (CHF), or pneumonia and whether the lowest-performing hospitals had faster acceleration in improvement after passage of the law than hospitals that were already performing well.

DESIGN

Pre-post analysis stratified by hospital performance groups.

SETTING

U.S. acute care hospitals.

PATIENTS

15 170 008 Medicare patients discharged alive from 2000 to 2013.

INTERVENTION

Passage of the HRRP.

MEASUREMENTS

30-day readmission rates after hospitalization for AMI, CHF, or pneumonia for hospitals in the highest-performance (0% penalty), average-performance (>0% and <0.50% penalty), low-performance (≥0.50% and <0.99% penalty), and lowest-performance (≥0.99% penalty) groups.

RESULTS

Of 2868 hospitals serving 1 109 530 Medicare discharges annually, 30.1% were highest performers, 44.0% were average performers, 16.8% were low performers, and 9.0% were lowest performers. After controlling for prelaw trends, an additional 67.6 (95% CI, 66.6 to 68.4), 74.8 (CI, 74.0 to 75.4), 85.4 (CI, 84.0 to 86.8), and 95.1 (CI, 92.6 to 97.5) readmissions per 10 000 discharges were found to have been averted per year in the highest-, average-, low-, and lowest-performance groups, respectively, after passage of the law.

LIMITATION

Inability to distinguish between improvement caused by the magnitude of the penalty or by different levels of health improvement in different patient populations.

CONCLUSION

After passage of the HRRP, 30-day RSRRs for myocardial infarction, heart failure, and pneumonia decreased more rapidly than before the law's passage. Improvement was most marked for hospitals with the lowest prelaw performance.

PRIMARY FUNDING SOURCE

National Institutes of Health.