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Readmissions

  • RevCycle Intelligence: Hospital Cost-Shifting Increases Private Payer Payments by 1.6%

    Tags: Commercially Insured, Prices, Readmissions
    RevCycle Intelligence: Hospital Cost-Shifting Increases Private Payer Payments by 1.6%
    Jaqueline LaPointe
    February 15, 2018

    Healthcare organizations that faced Medicare reimbursement reductions under the Affordable Care Act engaged in hospital cost-shifting that resulted in 1.6 percent higher average payments from private payers, a new working paper from the National Bureau of Economic Research uncovered. Researchers reported that hospitals penalized under the Hospital Readmission Reduction Program (HRRP) and the Hospital Value-Based…

    Read more: RevCycle Intelligence: Hospital Cost-Shifting Increases Private Payer Payments by 1.6%
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  • NBER: Hospital Pricing and Public Payments

    Tags: Affordable Care Act, Inpatient Spending, NBER, Peer Reviewed Journals, Readmissions, Value Based Care
    NBER: Hospital Pricing and Public Payments
    Michael Darden, Ian McCarthy, Eric Barrette
    February 1, 2018

    ABSTRACT: A longstanding debate in health economics and health policy concerns how hospitals adjust prices with private insurers following reductions in public funding. A common argument is that hospitals engage in some degree of “cost-shifting,” wherein hospitals increase prices with private insurers in response to a reduction in public payments; however, evidence of significant costshifting is…

    Read more: NBER: Hospital Pricing and Public Payments
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  • Medicare Advantage Health Care Utilization – Hospital Readmissions

    Tags: Chronic Conditions, Inpatient Spending, Medicare Advantage, Readmissions
    Medicare Advantage Health Care Utilization – Hospital Readmissions
    Eric Barrette, Katharine McGraves-Lloyd
    November 1, 2016

     This data brief, reports on five readmission rate measures for the Medicare Advantage (MA) population: 30-day all-cause hospital-wide readmissions and 30-day all-cause readmissions following acute myocardial infarction (AMI), heart failure, chronic obstructive pulmonary disease (COPD), and pneumonia. The results show that MA readmission rates have been declining over the past five years.

    Read more: Medicare Advantage Health Care Utilization – Hospital Readmissions
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