The mandatory federal pay-for-performance Hospital Readmissions Reduction Program
(HRRP) was created to decrease 30-day hospital readmissions by instituting accountability …

A growing body of evidence has shown that neighborhood characteristics have significant
effects on quality metrics that evaluate health plans or health care providers. Using a data …

Objective Medicare's Hospital Readmissions Reduction Program (HRRP) does not account
for social risk factors in risk adjustment, and this may lead the program to unfairly penalize …

Background Hospital performance quality assessments inform patients, providers, payers,
and purchasers in making healthcare decisions. These assessments have been developed …

Background Risk adjustment for reimbursement and quality measures omits social risk
factors despite adversely affecting health outcomes. Social risk factors are not usually …

Background To isolate hospital effects on risk-standardized hospital-readmission rates, we
examined readmission outcomes among patients who had multiple admissions for a similar …

Importance In several pay-for-performance programs, Medicare ties payments to
readmission rates but accounts only for a limited set of patient characteristics—and no …

Background Early hospital readmissions remain common in patients with conditions
targeted by the CMS Hospital Readmission Reduction Program (HRRP). There is still no …

Background: Safety-net hospitals have higher-than-expected readmission rates. The relative
roles of the mean disadvantage of neighborhoods the hospitals serve and the disadvantage …

Risk adjustment of quality measures using clinical risk factors is widely accepted; risk
adjustment using social risk factors remains controversial. We argue here that social risk …