Healthcare Finance News November 30, 2022
Jeff Lagasse

The readmission reductions may be due mostly to changes in how patient visits are being classified, JAMA analysis shows.

Hospital readmission rates began to improve upon implementation of the Affordable Care Act’s Hospital Readmissions Reduction Program, but a new JAMA Network Open analysis has found that the readmission gains due to the HRRP were smaller than originally reported.

The HRRP gives the federal government the authority to levy fines against hospitals with higher-than-expected readmission rates, but according to JAMA, the readmission reductions may be due mostly to changes in how patient visits were being classified.

Other Medicare policies, the research showed, resulted in a number of inpatient admissions being reclassified as observation stays, which were often “clinically indistinguishable” from short...

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