ArticleJournal of hospital medicine2021
The Hospital Readmissions Reduction Program and Observation Hospitalizations.
Article in Journal of hospital medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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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.
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Who cites it
11 citing papers in PubMed, 18 citations in OpenAlex.
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- Drug-Related Problems in Elderly Patients Attended to by Emergency Services.Journal of clinical medicine · 2023Review
- Health care policy that relies on poor measurement is ineffective: Lessons from the hospital readmissions reduction program.Health services research · 2023Article
- Medicare's hospital readmissions reduction program and the rise in observation stays.Health services research · 2023Article
- Accounting for the Growth of Observation Stays in the Assessment of Medicare's Hospital Readmissions Reduction Program.JAMA network open · 2022Article
- Improving healthcare value: Addressing the confusing costs of observation hospitalizations.Journal of hospital medicine · 2022Article
- Traditional Medicare Spending on Inpatient Episodes as Hospitalizations Decline.Journal of hospital medicine · 2021Article
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
The Centers for Medicare & Medicaid Services (CMS) Hospital Readmissions Reduction Program (HRRP) penalizes hospitals having excess inpatient rehospitalizations within 30 days of index inpatient stays for targeted conditions. Observation hospitalizations are increasing in frequency and may clinically resemble inpatient hospitalizations, yet HRRP excludes observation in index and 30-day rehospitalization counts. Using 100% 2014 Medicare fee-for-service claims and CMS's 30-day rehospitalization methodology, we modeled how observation hospitalizations impact HRRP metrics when counted as index (denominator) and 30-day (numerator) rehospitalizations. Of 3,806,772 index hospitalizations for HRRP conditions, 418,923 (11%) were observation; 18% (155,553/876,033) of rehospitalizations were invisible to HRRP due to observation hospitalization as index (34%; 63,740/188,430), 30-day outcome (53%; 100,343/188,430), or both (13%; 24,347/188,430). By ignoring observation hospitalizations as index and 30-day events, nearly one of five HRRP rehospitalizations is missed. Policymakers might consider this an opportunity to address broad challenges of the two-tiered observation and inpatient hospital billing distinction.
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Registered trials
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.