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Examining Medicare's Hospital Readmissions Reduction Program

New financial incentives and penalties in the Affordable Care Act (ACA) designed to optimize health care system performance are proving difficult to manage, but they are also providing new opportunities for leaders to foster collaboration between acute and post-acute health care providers.

Perhaps one of the most promising, albeit controversial, programs has been Medicare’s Hospital Readmissions Reduction Program (HRRP), which penalizes hospitals with excess 30-day readmissions for health conditions such as pneumonia, myocardial infarction, and heart failure. Although not all hospital readmissions are preventable, many could be avoided with improved post-discharge planning and care coordination.

The HHRP was designed to penalize hospitals with excess 30-day readmissions regardless of whether the patient was readmitted to the same hospital or another hospital. Although there are some exceptions (for example, readmissions due to hospital transfers or planned readmissions), most readmissions of patients with health conditions targeted by the HHRP will count against a hospital.

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Contact NYAM Experts

Reporters: to arrange interviews with NYAM medical and urban health experts, contact
Gina Ravosa, Director of Marketing & Communications

(212) 822-7285 / gravosa@nyam.org

NYAM Report - Resilient Communities: Empowering Older Adults in Disasters in Daily Life

Drawing on the lessons of Superstorm Sandy, a new report from The New York Academy of Medicine (NYAM), “Resilient Communities: Empowering Older Adults in Disasters and Daily Life,” presents an innovative set of recommendations to strengthen and connect formal and informal support systems to keep older adults safe during future disasters.

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NYAM Report - Achieving the Triple Aim in New York State: The Potential Role of Hospital Community Benefit

A new issue brief from NYAM, “Achieving the Triple Aim in New York State: the Potential Role of Hospital Community Benefit,” is the first in a series related to promoting a better understanding of Community Benefit in New York State and how it can advance population health.

NYAM commissioned an analysis of hospital community benefit investments by New York State hospitals. The new issue brief analyzes the reported expenditures of NYS hospitals in the categories of the IRS Schedule H report.

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