| 来源类型 | Working Paper
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| 规范类型 | 报告
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| DOI | 10.3386/w29545
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| 来源ID | Working Paper 29545
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| Did the Hospital Readmissions Reduction Program Reduce Readmissions? An Assessment of Prior Evidence and New Estimates |
| Engy Ziedan; Robert Kaestner
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| 发表日期 | 2021-12-06
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| 出版年 | 2021
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| 语种 | 英语
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| 摘要 | In this article, we provide a comprehensive, empirical assessment of the hypothesis that the Hospital Readmissions Reduction Program (HRRP) affected hospital readmissions. In doing so, we provide evidence as to the validity of prior empirical approaches used to evaluate the HRRP and we present results from a previously unused approach to study this research question—a regression-kink design. Results of our analysis document that the empirical approaches used in most prior research assessing the efficacy of the HRRP often lack internal validity. Therefore, results from these studies may not be informative about the causal consequences of the HRRP. Results from our regression-kink analysis, which we validate, suggest that the HRRP had little effect on hospital readmissions. This finding contrasts with the results of most prior studies, which report that the HRRP significantly reduced readmissions. Our finding is consistent with conceptual considerations related to the assumptions underlying HRRP penalty; in particular, the difficulty of identifying preventable readmissions, the highly imperfect risk adjustment that affects the penalty determination and the absence of proven tools to reduce readmissions. |
| 主题 | Health, Education, and Welfare
; Health
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| URL | https://www.nber.org/papers/w29545
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| 来源智库 | National Bureau of Economic Research (United States)
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| 引用统计 |
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| 资源类型 | 智库出版物
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| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/587219
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推荐引用方式
GB/T 7714 |
Engy Ziedan,Robert Kaestner. Did the Hospital Readmissions Reduction Program Reduce Readmissions? An Assessment of Prior Evidence and New Estimates. 2021.
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文件名：
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w29545.pdf
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格式：
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Adobe PDF
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