Abstract

Despite the substantial attention on reduction in hospital readmission rates, the impact of the CMS Hospital Readmission Reduction Program has not been comprehensively assessed with respect to the objectives of the Triple Aim initiative. Our objective is to study whether HRRP achieved its intended goals with respect to the three dimensions of Triple Aim: improvements in health quality, reductions in cost, and improvements in patient experience. Our analysis is based on patient admission-level data based on a large panel of COPD patient visits in over a ten-year period between 2006 and 2015. We report that average 30-day readmission rate of COPD patients steadily declined from 17.7% in 2006 to 12.3% in 2015, while average LOS steadily declined from 5.58 to 4.57 days overall and across all classes of patients based on payer type. Further, hospitals exhibited an increase in their overall patient experience ratings during this period. Our results, based on data analytics of a rich source of patient healthcare data, suggest that the aims of the HRRP program have been fulfilled.

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