Readmission reduction

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, calculated by dividing a hospital’s number of “predicted” 30-day readmissions for heart attack (AMI), heart failure (HF), pneumonia, chronic obstructive pulmonary disease (COPD), hip/knee replacement (THA/TKA), and coronary artery bypass graft surgery (CABG) by the number that would be “expected,” based on an average hospital with similar patients.

More information on how payments are adjusted.

More on the calculations.

Hospital Readmissions Reduction Program data

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