Regression to the Mean in the Medicare Hospital Readmissions Reduction Program

JAMA Internal Medicine

Volumn 179, Issue 9, 2019, Pages 1167-1173

  Joshi, Sushant ^a   Nuckols, Teryl ^b   Escarce, José ^c   Huckfeldt, Peter ^d   Popescu, Ioana ^c   Sood, Neeraj ^a  

^a UNIVERSITY OF SOUTHERN CALIFORNIA   (United States)

^b CEDARS SINAI MEDICAL CENTER   (United States)

^c UNIVERSITY OF CALIFORNIA   (United States)

^d UNIVERSITY OF MINNESOTA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACUTE HEART INFARCTION; AGED; ARTICLE; CHRONIC OBSTRUCTIVE LUNG DISEASE; FOLLOW UP; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEART FAILURE; HOSPITAL; HOSPITAL READMISSION; HOSPITALIZATION; HUMAN; MEDICARE; PNEUMONIA; PRIORITY JOURNAL;

EID: 85068237942     PISSN: 21686106     EISSN: None     Source Type: Journal    
DOI: 10.1001/jamainternmed.2019.1004     Document Type: Article

References (19)

1. Centers for Medicare & Medicaid Services. Hospital Readmissions Reduction Program (HRRP). https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Readmissions-Reduction-Program.html. Modified January 16, 2019. Accessed January 16, 2019.
2. Centers for Medicare & Medicaid Services. Hospital Readmissions Reduction Program (HRRP). https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Readmissions-Reduction-Program.html. Modified January 16, 2019. Accessed January 16, 2019.
3. Desai NR, Ross JS, Kwon JY, Association between hospital penalty status under the Hospital Readmission Reduction Program and readmission rates for target and nontarget conditions. JAMA. 2016; 316 (24): 2647-2656. doi: 10.1001/jama.2016.18533 28027367
4. Wasfy JH, Zigler CM, Choirat C, Wang Y, Dominici F, Yeh RW. Readmission rates after passage of the hospital readmissions reduction program: a pre-post analysis. Ann Intern Med. 2017; 166 (5): 324-331. doi: 10.7326/M16-0185 28024302
5. Barnett AG, van der Pols JC, Dobson AJ. Regression to the mean: what it is and how to deal with it. Int J Epidemiol. 2005; 34 (1): 215-220. doi: 10.1093/ije/dyh299 15333621
6. Atkinson G, Loenneke JP, Fahs CA, Abe T, Rossow LM. Individual differences in the exercise-mediated blood pressure response: regression to the mean in disguise? Clin Physiol Funct Imaging. 2015; 35 (6): 490-491. doi: 10.1111/cpf.12211 25546302
7. Bland JM, Altman DG. Regression towards the mean. BMJ. 1994; 308 (6942): 1499. doi: 10.1136/bmj.308.6942.1499 8019287
8. Kelly C, Price TD. Correcting for regression to the mean in behavior and ecology. Am Nat. 2005; 166 (6): 700-707. doi: 10.1086/497402 16475086
9. Linden A. Assessing regression to the mean effects in health care initiatives. BMC Med Res Methodol. 2013; 13 (1): 119. doi: 10.1186/1471-2288-13-119 24073634
10. Yudkin PL, Stratton IM. How to deal with regression to the mean in intervention studies. Lancet. 1996; 347 (8996): 241-243. doi: 10.1016/S0140-6736(96)90410-9 8551887
11. Bland JM, Altman DG. Some examples of regression towards the mean. BMJ. 1994; 309 (6957): 780. doi: 10.1136/bmj.309.6957.780 7950567
12. Linden A. RTMCI: Stata Module to Estimate Regression to the Mean Effects With Confidence Intervals. Boston, MA: Statistical Software Components; 2013.
13. Stigler SM. Regression towards the mean, historically considered. Stat Methods Med Res. 1997; 6 (2): 103-114. doi: 10.1177/096228029700600202 9261910
14. Press MJ, Scanlon DP, Ryan AM, Limits of readmission rates in measuring hospital quality suggest the need for added metrics. Health Aff (Millwood). 2013; 32 (6): 1083-1091. doi: 10.1377/hlthaff.2012.0518 23733983
15. Gupta A. Impacts of performance pay for hospitals: the readmissions reduction program. Becker Friedman Institute for Research in Economics Working Paper No. 2017-07. https://papers.ssrn.com/sol3/papers.cfm?abstract-id=3054172. Posted October 16, 2017. Accessed May 29, 2019.
16. Zuckerman RB, Sheingold SH, Orav EJ, Ruhter J, Epstein AM. Readmissions, observation, and the Hospital Readmissions Reduction Program. N Engl J Med. 2016; 374 (16): 1543-1551. doi: 10.1056/NEJMsa1513024 26910198
17. Ibrahim AM, Dimick JB, Sinha SS, Hollingsworth JM, Nuliyalu U, Ryan AM. Association of coded severity with readmission reduction after the Hospital Readmissions Reduction Program. JAMA Intern Med. 2018; 178 (2): 290-292. doi: 10.1001/jamainternmed.2017.6148 29131896
18. Ody C, Msall L, Dafny LS, Grabowski DC, Cutler DM. Decreases in readmissions credited to Medicare's program to reduce hospital readmissions have been overstated. Health Aff (Millwood). 2019; 38 (1): 36-43. doi: 10.1377/hlthaff.2018.05178 30615522
19. Dharmarajan K, Wang Y, Lin Z, Association of changing hospital readmission rates with mortality rates after hospital discharge. JAMA. 2017; 318 (3): 270-278. doi: 10.1001/jama.2017.8444 28719692