Defining safety net hospitals in the health services research literature: a systematic review and critical appraisal

JL Hefner, TH Hogan, W Opoku-Agyeman… - BMC Health Services …, 2021 - Springer
Background The aim of this study was to identify the range of ways that safety net hospitals
(SNHs) have been empirically operationalized in the literature and determine the extent to …

Early performance of hospital value-based purchasing program in medicare: a systematic review

YR Hong, O Nguyen, S Yadav, E Etzold, J Song… - Medical …, 2020 - journals.lww.com
Background: Under the Affordable Care Act, the Centers for Medicare and Medicaid
Services has greatly expanded inpatient fee-for-value programs including the Hospital …

Changes to racial disparities in readmission rates after Medicare's Hospital Readmissions Reduction Program within safety-net and non–safety-net hospitals

KH Chaiyachati, M Qi, RM Werner - JAMA network open, 2018 - jamanetwork.com
Importance Although readmission rates are declining under Medicare's Hospital
Readmissions Reduction Program (HRRP), concerns remain that the HRRP will harm …

Association between federal value-based incentive programs and health care–associated infection rates in safety-net and non–safety-net hospitals

HE Hsu, R Wang, C Broadwell, K Horan, R Jin… - JAMA network …, 2020 - jamanetwork.com
Importance In the US, federal value-based incentive programs are more likely to penalize
safety-net institutions than non–safety-net institutions. Whether these programs differentially …

Impact of the Medicare hospital readmissions reduction program on vulnerable populations

Y Gai, D Pachamanova - BMC health services research, 2019 - Springer
Abstract Background The Hospital Readmissions Reduction Program (HRRP) was
established by the 2010 Patient Protection and Affordable Care Act (ACA) in an effort to …

Analysis of hospital operating margins and provision of safety net services

LK Gaffney, KA Michelson - JAMA network open, 2023 - jamanetwork.com
Importance Safety net hospitals (SNH) provide many community services. The cost of
providing these services is unknown. Objective To determine what safety net criteria are …

Readmissions reduction program: mortality and readmissions for chronic obstructive pulmonary disease

DA Puebla Neira, ES Hsu, YF Kuo… - American Journal of …, 2021 - atsjournals.org
Rationale: Implementation of the Hospital Readmissions Reduction Program (HRRP)
following discharge of patients with chronic obstructive pulmonary disease (COPD) has led …

Health equity adjustment and hospital performance in the Medicare Value-Based Purchasing program

M Liu, S Sandhu, KEJ Maddox, RK Wadhera - JAMA, 2024 - jamanetwork.com
Importance Medicare's Hospital Value-Based Purchasing (HVBP) program will provide a
health equity adjustment (HEA) to hospitals that have greater proportions of patients dually …

Saving the Health Care Safety Net: Progress and Opportunities

P Chatterjee - Annual Review of Public Health, 2024 - annualreviews.org
The health care safety net provides essential clinical care and social services for low-
income, uninsured, and underinsured populations in the United States. Despite these …

Upcoding Linked To Up To Two-Thirds Of Growth In Highest-Intensity Hospital Discharges In 5 States, 2011–19: Study examines hospital patient discharges with …

D Crespin, M Dworsky, J Levin, T Ruder… - Health Affairs, 2024 - healthaffairs.org
Diagnosis-based payment systems can create incentives to upcode patients to a higher
level of severity to increase payment. In some instances, upcoding can be a form of fraud if …