Lower Readmission Rates in Hospitals in Value-based Programs

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  • April 13, 2017
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Lower Readmission Rates in Hospitals in Value-based Programs

Facilities participating in voluntary value-based programs have fewer readmissions than those not-involved, according to a study in AMA’s JAMA Internal Medicine. 
The 10-year study, conducted by researchers from the University of Michigan, analyzed 30-day readmission rates for patients treated for heart disease and pneumonia in 2,800 hospitals.

Study Results

“Association Between Hospitals’ Engagement in Value-based Reforms and Readmission Reduction in the Hospital Readmission Reduction Program ” reveals that facilities participating in an Accountable Care Organization (ACO) saw a 2.1 percent drop in readmissions each year in heart failure cases. Hospitals engaged in meaningful use saw a 2.3 percent drop.
Facilities participating in the double whammy of an ACO plus bundled payments saw a 2.6 percent drop while those in meaningful use plus bundled payments enjoyed 2.5 fewer admissions.
Facilities participating in all three saw 2.9 percent drop in readmissions for heart failure, 2 percent for heart attack, and 1.9 percent for pneumonia.

CMS Mandates

The Centers for Medicare & Medicaid Services (CMS), launched Medicare’s Hospital Readmission Reduction Program (HRRP) in 2012. Readmission rates have fallen faster than any time before, the agency said. The agency claims that 565,000 readmissions have been prevented since 2010, and millions of dollars saved, using the various programs released by the government.

Brad Ericson
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Brad Ericson, MPC, CPC, COSC, is a seasoned healthcare writer and editor. He directed publishing at AAPC for nearly 12 years and worked at Ingenix for 13 years and Aetna Health Plans prior to that. He has been writing and publishing about healthcare since 1979. He received his Bachelor's in Journalism from Idaho State University and his Master's of Professional Communication degree from Westminster College of Salt Lake City.

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