Darrell J. Gaskin|Hossein Zare|Roza Vazin|Deja Love|Donald Steinwachs
Racial and Ethnic Composition of Hospitals’ Service Areas and the Likelihood of Being Penalized for Excess Readmissions by the Medicare Program
Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University
hospital readmission reduction program hrrp disproportionately penalizes hospitals serving minority communities national academy science engineering medicine recommended centers medicare medicaid services cms consider adjusting social risk factors risk adjustment methodology study examines association racial ethnic composition hospital market impact social risk factors probability hospital penalized hrrpthis study analyzes data cms american hospital association american community survey 3168 hospitals 2013 2017 used logistic regression models estimate association penalty status hrrp racial ethnic composition hospital market explored whether association moderated social risk factorsour results indicate probability penalized increases percentage black asian residents hospital service area hsa decreased percentage hispanic residents hsa association reduced became statistically insignificant controlled social risk factors strongest predictors penalty status hospitals share medicaid patients percent persons without high school diploma hsaby incorporating relevant social risk factors reimbursement methodology cms could mitigate negative effects hrrp hospitals serving minority communities