Findings published in the March issue of the journal JAMA Surgery suggest that implementation of the Medicare Hospital Readmissions Reduction Program (HRRP) was associated with a reduction in readmissions following total knee arthroplasty (TKA) and total hip arthroplasty (THA). 

The researchers conducted a retrospective, cohort study of 672,135 Medicare beneficiaries across 2,773 hospitals, 507,663 of whom underwent HRRP-targeted procedures (TKA and THA), and 164,472 of whom underwent nontargeted procedures. They found that readmissions for all procedures decreased significantly over the study period. However, readmission rates following TKA and THA decreased faster after HRRP implementation compared with the prepolicy period. The researchers note that the use of observation stays increased slightly, and accounted for 11 percent of the decrease in readmissions. Read the abstract...

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