Greater Reductions in Readmission Rates Achieved by Urban Hospitals Participating in the Medicare Shared Savings Program
Bibliographic Data
| ID | 9102521 |
|---|---|
| Authors | Yeunkyung Kim (0000-0002-0501-6170, Department of Public Health Sciences, Division of Health Policy and Outcomes Research, corresponding author), Caroline P Thirukumaran (0000-0003-3316-0951, Department of Public Health Sciences, Division of Health Policy and Outcomes Research, corresponding author), Yue Li (0009-0004-9365-9070, Department of Public Health Sciences, Division of Health Policy and Outcomes Research, corresponding author) |
| Year | 2018 |
| Volume | 56 |
| Issue | 8 |
| Pages | 686-692 |
| Publication date | 2018-08-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0000000000000945 |
| PMID | 29912839 |
| OpenAlex | W2807856994 |
| Language | EN |
| Citations received | 4 |
| References cited | 25 |
BACKGROUND: Accountable Care Organizations in the Medicare Shared Savings Program (MSSP) have financial incentives to reduce the cost and improve the quality of care delivered to Medicare beneficiaries that they serve. However, previous research about the impact of the MSSP on readmissions is limited and mixed. OBJECTIVE: To examine the association between hospital participation in the MSSP during the 2012-2013 period and reductions in 30-day risk-standardized readmission rates for Medicare patients initially admitted for acute myocardial infarction, heart failure (HF), pneumonia, or any cause. RESEARCH DESIGN: Difference-in-differences estimation to compare the change in readmission rates for hospitals participating in the MSSP with that of other hospitals. SUBJECTS: Acute care hospitals that either participated in the MSSP or did not participate in any of Medicare Accountable Care Organization programs (for acute myocardial infarction, n=1631; for HF, n=1889; for pneumonia, n=1896; for any cause, n=2067). RESULTS: Compared with nonparticipating hospitals, MSSP-participating hospitals showed greater reductions in readmission rates for Medicare patients originally admitted for HF by 0.47 percentage points [95% confidence interval (CI), -0.76 to -0.17] and for pneumonia by 0.26 percentage points (95% CI, -0.49 to -0.03). MSSP-participating hospitals also showed more reductions in hospital-wide all-cause readmission by 0.10 percentage points (95% CI, -0.20 to 0.01), relative to nonparticipating hospitals during the first year of MSSP. CONCLUSIONS: MSSP-participating hospitals showed slightly greater reductions in readmissions during postimplementation years for Medicare patients initially admitted for HF or pneumonia, compared with other hospitals
Acute care · Confidence interval · Family medicine · Health care · Heart failure · Myocardial infarction · Pneumonia · Emergency Medicine · Healthcare Policy and Management · Heart Failure Treatment and Management · Internal Medicine · Medicine · Primary Care and Health Outcomes
The Effect of Network-Level Payment Models on Care Network Performance
Financial incentives for integrated care
The Effect of Medicare Shared Savings Program on Readmissions and Variations by Race/Ethnicity and Payer Status (December 9, 2020)
Skilled Nursing Facility Participation in a Voluntary Medicare Bundled Payment Program
| Citations per year | 0.8 |
|---|---|
| Citation span | 2021 - 2024 (4) |
| Highly cited | No |