Fact Based List:

Chad Ellimoottil: 10 Facts About Medicare’s Hospital Readmissions Reduction Program

Submitted by ASchreiber on Mon, 05/02/2016 - 13:16


  1. In 2015, almost 80% of hospitals received a penalty under HRRP.
  2. In 2015, ten percent of hospitals accounted for nearly 50 percent of the penalties.
  3. A readmission from three years ago may impact your hospital’s score today.
  4. While readmission measures may be “condition-specific”, readmissions from “all-causes” count against your hospital.
  5. Small hospitals may not be unfairly penalized for a few extra readmissions.
  6. Readmissions caused by patients who leave “against medical advice” do not count against the hospital.
  7. Over 50 different comorbidities are considered to make sure hospitals are compared on an equal playing field.
  8. About 21% readmissions in the state of Michigan occur at hospitals other than one where the patient was initially hospitalized.
  9. Approximately 85% of patients who are readmitted within 30-days come in through the emergency room.
  10. About 8% of readmissions are considered “planned”.


Source: The Michigan Value Collaborative, April 20, 2016
Source URL: http://www.themvcblog.com/10-facts-about-medicares-hospital-...



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