Could medicare readmission policy exacerbate health care system inequity?

Annals of Internal Medicine

Volumn 152, Issue 2, 2010, Pages 114-117

  Bhalla, Rohit ^a   Kalkut, Gary ^a  

^a MONTEFIORE MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

COMMUNITY CARE; COST CONTROL; COST EFFECTIVENESS ANALYSIS; DEMOGRAPHY; EVIDENCE BASED PRACTICE; HEALTH CARE AVAILABILITY; HEALTH CARE POLICY; HEALTH CARE UTILIZATION; HIGH RISK PATIENT; HOSPITAL CARE; HOSPITAL READMISSION; HUMAN; MEDICAID; MEDICARE; PATIENT CARE; PRIORITY JOURNAL; REVIEW; SOCIAL ASPECT; TREATMENT OUTCOME;

EID: 74949097738     PISSN: 00034819     EISSN: 15393704     Source Type: Journal    
DOI: 10.7326/0003-4819-152-2-201001190-00185     Document Type: Review

References (22)

1. Centers for Medicare & Medicaid Services. Hospital Compare. Baltimore: Centers for Medicare & Medicaid Services; 2009. Accessed at www.hospitalcompare .hhs.gov on 19 July 2009.
2. Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the Medicare fee-for-service program. N Engl J Med. 2009;360:1418-28. [PMID: 19339721]
3. Centers for Medicare & Medicaid Services. Roadmap for implementing value driven health care in the traditional Medicare fee-for-service program. Baltimore: Centers for Medicare & Medicaid Services. Accessed at www.cms.hhs.gov/center /quality.asp on 31 May 2009.
4. U.S. Senate Finance Committee. Description of policy options: transforming the health care delivery system: proposals to improve patient care and reduce health care costs. Washington, DC: U.S. Senate; 29 April 2009. Accessed at http://finance.senate.gov/sitepages/legislation.htm on 19 July 2009.
5. U.S. House of Representatives. The House Tri-Committee Health Reform Discussion Draft. Washington, DC: U.S. House of Representatives; 19 June 2009. Accessed at http://edlabor.house.gov/documents/111/pdf /publications/DraftHealthCareReform-BillText.pdf on 19 July 2009.
6. Editorial: Back in the hospital again. New York Times. 16 April 2009:A28.
7. Fisher ES, McClellan MB, Bertko J, Lieberman SM, Lee JJ, Lewis JL, et al. Fostering accountable health care: moving forward in Medicare. Health Aff (Millwood). 2009;28:w219-31. [PMID: 19174383]
8. Krumholz H, Normand S, Keenan P, Lin Z, Drye E, Bhat K, et al. Hospital 30-day heart failure readmission measure method. New Haven, CT: Yale University/ Yale New-Haven Hospital Center for Outcomes Research & Evaluation; 23 April 2008. Accessed at www.qualitynet.org on 31 May 2009.
9. Ross JS, Mulvey GK, Stauffer B, Patlolla V, Bernheim SM, Keenan PS, et al. Statistical models and patient predictors of readmission for heart failure: a systematic review. Arch Intern Med. 2008;168:1371-86. [PMID: 18625917]
10. Rathore SS, Masoudi FA, Wang Y, Curtis JP, Foody JM, Havranek EP, et al. Socioeconomic status, treatment, and outcomes among elderly patients hospitalized with heart failure: findings from the National Heart Failure Project. Am Heart J. 2006;152:371-8. [PMID: 16875925]
11. Jiang HJ, Russo CA, Barrett ML. Nationwide frequency and costs of potentially preventable hospitalizations, 2006. HCUP Statistical Brief 72. Rockville, MD: Agency for Healthcare Research and Quality; 2009. Accessed at www.hcup -us.ahrq.gov/reports/statbriefs/sb72.pdf on 17 May 2009.
12. Egerter S, Braverman P, Cubbin C, Dekker M, Sadegh-Nobari T, An J, et al. Reaching America's health potential: a state-by-state look at adult health. Princeton, NJ: Robert Wood Johnson Foundation Commission to Build a Healthier America; 2009.
13. Committee of Understanding and Eliminating Racial and Ethnic Disparities in Health Care, Institute of Medicine. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Washington, DC: National Academies Pr; 2003.
14. Agency for Healthcare Research and Quality. 2007 National Health Care Disparities Report. Rockville, MD: Agency for Healthcare Research and Quality; 2008. AHRQ Publication no. 08-0041.
15. Casalino LP, Elster A, Eisenberg A, Lewis E, Montgomery J, Ramos D. Will pay-for-performance and quality reporting affect health care disparities? Health Aff (Millwood). 2007;26:w405-14. [PMID: 17426053]
16. Patient-mix coefficients for March 2009 publicly reported HCAHPS results. Baltimore: Centers for Medicare & Medicaid Services; 2009. Accessed at www .hcahpsonline.org on 17 May 2009.
17. Gawande A. The cost conundrum. The New Yorker. 2009;1 June. Accessed at www.newyorker.com/reporting/2009/06/01/090601fa-fact-gawande on 22 July 2009.
18. Krumholz HM, Merrill AR, Schone EM, Schreiner GC, Chen J, Bradley EH, et al. Patterns of hospital performance in acute myocardial infarction and heart failure 30-day mortality and readmission. Circ Cardiovasc Qual Outcomes. 2009. [Epub ahead of print].
19. Sochalski J, Jaarsma T, Krumholz HM, Laramee A, McMurray JJ, Naylor MD, et al. What works in chronic care management: the case of heart failure. Health Aff (Millwood). 2009;28:179-89. [PMID: 19124869]
20. Peikes D, Chen A, Schore J, Brown R. Effects of care coordination on hospitalization, quality of care, and health care expenditures among Medicare beneficiaries: 15 randomized trials. JAMA. 2009;301:603-18. [PMID: 19211468]
21. U.S. Census Bureau. State and county quick facts: Fairfield County, Connecticut. Accessed at http://quickfacts.census.gov/qfd/states/09/ 09001.html on 19 July 2009.
22. U.S. Census Bureau. State and county quick facts: Bronx County, New York. Accessed at http://quickfacts.census.gov/qfd/states/36/36005.html on 19 July 2009.