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Title
Redesigning the Medicare Inpatient PPS to Reduce Payments to Hospitals with High Readmission Rates
First Author
Richard F. Averill
Date of Pub
2009 Summer
Pages
15
Volume
30
Issue
4
Other Authors
Richard F. Averill, M.S., Elizabeth C. McCullough, M.S., John S. Hughes, M.D., Norbert I. Goldfield, M.D., James C. Vertrees, Ph.D., and Richard L. Fuller, M.S.
Abstract
A redesign of the Medicare inpatient prospective payment system (IPPS) that reduces payments to hospitals that have high-risk adjusted readmission rates is proposed. The redesigned IPPS uses a readmission performance standard from best practice hospitals to determine the riskadjusted number of excess readmissions in a hospital and determines the payment reduction for a hospital based on its excess number of readmissions. Extrapolating from Florida Medicare 2004-2005 discharge data, the redesigned IPPS is estimated to reduce overall annual Medicare inpatient expenditures nationally by $1.25, 1.92, and 2.58 billion for readmission windows of 7, 15, and 30 days, respectively
Abstract Continued
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MeSH
N/A
NTIS Number
N/A
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