Medicare Readmission Rates Showed Meaningful Decline in 2012

Gerhardt, Geoffrey; Yemane, Alshadye; Hickman, Peter E.; Oelschlaeger, Allison; Rollins, Eric; Brennan, Niall

doi:10.5600/mmrr.003.02.b01

Cited by 132 publications

(92 citation statements)

References 3 publications

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“…One percentage point increase in the average occupancy rate increases the readmission rate by 0.05 percentage points. Consistent with the literature [6] , readmission rates also increased with hospital size. The difference between the largest and smallest hospitals is at least 4.1 percentage points after controlling for all other factors in the model.…”

Section: Regression Resultssupporting

confidence: 80%

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Hospital readmission rates in Medicare

Erdem

Fout

Korda³

et al. 2014

JHA

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Hospital readmissions are the focus of many recent efforts to improve quality and reduce spending under the Affordable Care Act (ACA). We examined variations in Medicare readmission rates by hospital characteristics (e.g., type, size, utilization) and Medicare patient mix (i.e., share of dual eligible beneficiaries, share of patients under 65 years of age, health status). Using 2010 data from 3,543 short-stay Medicare-certified hospitals, readmission rates were higher for hospitals that served a greater share of patients who were dual-eligible and less healthy; and larger hospitals and hospitals with higher occupancy rates even after controlling for patient mix.

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Section: Regression Resultssupporting

confidence: 80%

“…In a recent study, Gerhardt and colleagues found that readmission rates, which were stable at about 19% between 2007 and 2011, declined to 18.4% in 2012 among Medicare FFS patients without being able to attribute the decline to the ongoing payment and quality programs [6] .…”

mentioning

confidence: 99%

Hospital readmission rates in Medicare

Erdem

Fout

Korda³

et al. 2014

JHA

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show abstract

“…Previous initiatives that focused on changes to process, communication, and personnel within nursing facilities, though small in scale, reduced all hospitalizations by 17 percent to 47 percent (Kane, Keckhafer, Flood, Bershadsky, & Siadaty, 2003;Ouslander et al, 2011). Several other CMS efforts have focused on lowering readmissions among the Medicare FFS population (Gerhardt, Yemane, Hickman, Oeschlaeger, Rollins, and Brennan, 2013). These include reporting hospital readmission rates through Hospital Compare, and funding hospitallevel improvements through the Partnership for Patients Program (Centers for Medicare & Medicaid Services, 2013d.…”

Section: Discussionmentioning

confidence: 99%

Medicare-Medicaid Eligible Beneficiaries and Potentially Avoidable Hospitalizations

Segal¹,

Rollins²,

Hodges³

et al. 2014

MMRR

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Objective: Potentially avoidable hospitalizations have been identified by experts as leading to poor health outcomes and costly care. Potentially avoidable hospitalizations are particularly common among full-benefit dual eligible beneficiaries. This paper examines potentially avoidable hospitalizations rates by setting, state, and medical condition, and the average cost of these events.Methods: This analysis identifies potentially avoidable hospitalizations using diagnosis codes identified by an expert panel. Settings of care are determined using a timeline file, which assigns an individual to a specific setting on a particular day.

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“…We previously published data showing that the 30-day, all-condition readmission rate for Medicare fee-for-service (FFS) beneficiaries was significantly lower in 2012 compared to rates observed during the previous five years (P< .0001), dropping from an average of 19 percent over the 2007-2011 period to 18.5 percent in calendar year 2012 (Gerhardt et al, 2013). 1 The cause of this decline is not yet clear, but some have speculated that reduced inpatient readmission rates in 2012 were the result of hospitals changing the way they treat patients who return to the hospital after an admission (Carlson, 2013).…”

Section: Introductionmentioning

confidence: 99%