Evidence map›Paper›PMID 30141733›Full record

ArticleMedical care research and review : MCRR2020

Does a Reduction in Readmissions Result in Net Savings for Most Hospitals? An Examination of Medicare's Hospital Readmissions Reduction Program.

Olga Yakusheva, Geoffrey J Hoffman

Abstract read
In one paragraph

Article in Medical care research and review : MCRR, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. LACE Score-Based Risk Management Tool for Long-Term Home Care Patients: A Proof-of-Concept Study in Taiwan.International journal of environmental research and public health · 2021
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Observational
  12. Triple Aim and the Hospital Readmission Reduction Program.Health services research and managerial epidemiology
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Olga YakushevaUniversity of Michigan School of Nursing, Ann Arbor, MI, USA.ORCID 0000-0001-5501-1397
Geoffrey J HoffmanUniversity of Michigan School of Nursing, Ann Arbor, MI, USA.ORCID 0000-0002-3583-6532

Funding

An Examination of How an Avoided Readmission Affects Hospitals FinanciallyR03HS025838 · AHRQ · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HOFFMAN, GEOFFREY JONATHAN · 2018 to 2019
$99k
AHRQ HHS R03 HS025838
6 · The paper itself

Abstract

This study aimed (1) to estimate the impact of an incremental reduction in excess readmissions on a hospital's Medicare reimbursement revenue, for hospitals subject to penalties under the Medicare's Hospital Readmissions Reduction Program and (2) to evaluate the economic case for an investment in a readmission reduction program. For 2,465 hospitals with excess readmissions in the Fiscal Year 2016 Hospital Compare data set, we (1) used the Hospital Readmissions Reduction Program statute to estimate hospital-specific Medicare reimbursement gains per an avoided readmission and (2) carried out a pro forma analysis of investment in a broad-scale readmission reduction program under conservative assumptions regarding program effectiveness and using program costs from earlier studies. For an average hospital, avoiding one excess readmission would result in reimbursement gains of $10,000 to $58,000 for Medicare discharges. The economic case for investments in a readmission reduction effort was strong overall, with the possible exception of hospitals with low excess readmissions.

Indexed as

HospitalsPatient ReadmissionCost SavingsHumansMedicarePatient DischargeUnited Statesacute carehealth economicshealth policy/politics/law/regulationMedicarereadmissions

Identifiers

PMID30141733
PMCPMC6560630

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.