ArticleHealth affairs (Project Hope)2016
Accounting For Patients' Socioeconomic Status Does Not Change Hospital Readmission Rates.
Article in Health affairs (Project Hope), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.
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Who cites it
48 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Social Risk Adjustment In The Hospital Readmissions Reduction Program: A Systematic Review And Implications For Policy.Health affairs (Project Hope) · 2022Pooled it
- Effect of disability, homelessness, and neighborhood marginalization on risk adjustment for hospital performance measurement.American journal of epidemiology · 2025Article
- Hospital readmission disparity measure for evaluating hospital performance and penalties.Archives of public health = Archives belges de sante publique · 2025Article
- Article
- Augmenting the Hospital Score with social risk factors to improve prediction for 30-day readmission following acute myocardial infarction.Medical research archives · 2024Article
- Independent Associations of Neighborhood Deprivation and Patient-level Social Determinants of Health with Textbook Outcomes after Inpatient Surgery.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2023Article
- Hospitals serving nursing home residents disproportionately penalized under hospital readmissions reduction program.Journal of the American Geriatrics Society · 2022Article
- Neighborhood Socioeconomic Disadvantage and Mortality Among Medicare Beneficiaries Hospitalized for Acute Myocardial Infarction, Heart Failure, and Pneumonia.Journal of general internal medicine · 2022Article
- Information Extraction From Electronic Health Records to Predict Readmission Following Acute Myocardial Infarction: Does Natural Language Processing Using Clinical Notes Improve Prediction of Readmission?Journal of the American Heart Association · 2022Article
- Adjusting for Social Risk Factors in Pediatric Quality Measures: Adding to the Evidence Base.Academic pediatrics · 2022Article
- Article
- Evaluating How Safety-Net Hospitals Are Identified: Systematic Review and Recommendations.Health equity · 2022Review
- Socio-demographic and -economic factors associated with 30-day readmission for conditions targeted by the hospital readmissions reduction program: a population-based study.BMC public health · 2021Article
- Association of Socioeconomic Area Deprivation Index with Hospital Readmissions After Colon and Rectal Surgery.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
- Social determinants of health and hospital readmissions: can the HOSPITAL risk score be improved by the inclusion of social factors?BMC health services research · 2021Article
- Readmission within three months after inpatient geriatric care-Incidence, diagnosis and associated factors in a Swedish cohort.PloS one · 2021Article
- Evaluation of Changes in Veterans Affairs Medical Centers' Mortality Rates After Risk Adjustment for Socioeconomic Status.JAMA network open · 2020Observational
- Are Improvements Still Needed to the Modified Hospital Readmissions Reduction Program: a Health and Retirement Study (2000-2014)?Journal of general internal medicine · 2020Article
- U.S. hospital performance methodologies: a scoping review to identify opportunities for crossing the quality chasm.BMC health services research · 2020Article
- Relative Effects of the Hospital Readmissions Reduction Program on Hospitals That Serve Poorer Patients.Medical care · 2019Article
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Abstract
There is an active public debate about whether patients' socioeconomic status should be included in the readmission measures used to determine penalties in Medicare's Hospital Readmissions Reduction Program (HRRP). Using the current Centers for Medicare and Medicaid Services methodology, we compared risk-standardized readmission rates for hospitals caring for high and low proportions of patients of low socioeconomic status (as defined by their Medicaid status or neighborhood income). We then calculated risk-standardized readmission rates after additionally adjusting for patients' socioeconomic status. Our results demonstrate that hospitals caring for large proportions of patients of low socioeconomic status have readmission rates similar to those of other hospitals. Moreover, readmission rates calculated with and without adjustment for patients' socioeconomic status are highly correlated. Readmission rates of hospitals caring for patients of low socioeconomic status changed by approximately 0.1 percent with adjustment for patients' socioeconomic status, and only 3-4 percent fewer such hospitals reached the threshold for payment penalty in Medicare's HRRP. Overall, adjustment for socioeconomic status does not change hospital results in meaningful ways.
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