The Effect of Medicare Shared Savings Program on Readmissions and Variations by Race/Ethnicity and Payer Status (December 9, 2020)

We examined the impact of hospital participation in the MSSP on 30-day readmissions for several groups of Medicare inpatients, and by race/ethnicity and payer status. Main Data Source: A 2010–2016 Medicare Provider Analysis and Review files. Research Design: With propensity score matched sample of MSSP and non-MSSP-participating hospitals, patient-level linear probability models with difference-in-differences approach were used to compare the changes in readmission rates for Medicare fee-for-service patients initially admitted for ischemic stroke, hip fracture, or total joint arthroplasty in MSSP-participating hospitals with non-MSSP-participating hospitals as well as to compare the changes in disparities in readmission rates over time. Principal Findings: Hospital participation in MSSP was associated with further reduced readmission rate by 1.1 percentage points (95% confidence interval: −0.02 to 0.00, P
Source: Medical Care - Category: Health Management Tags: Original Articles Source Type: research