Hospital Readmissions Reduction Program
In October 2012, CMS began reducing Medicare payments for Inpatient Prospective Payment System (IPPS) hospitals with excess readmissions. Excess readmissions are measured by a ratio, by dividing a hospital’s number of “predicted” 30-day readmissions for heart attack, heart failure, pneumonia, COPD, hip/knee replacement, and coronary artery bypass graft surgery by the number that would be “expected,” based on an average hospital with similar patients. A ratio greater than 1.0000 indicates excess readmissions.
Hospital Readmissions Reduction Program data