The Readmissions Reduction Program (RRP) Analysis is intended to provide detailed performance information on the readmissions measures that are currently evaluated or will be evaluated under the Medicare Hospital Readmissions Reduction Program and to provide members with an in-depth review of actual performance under the Federal Fiscal Years (FFYs) 2016 and 2017 programs. The analysis also projects potential exposure under the FFY 2018 Program.
The specific measures analyzed (six in total) represent the measures CMS has adopted for use in the FFYs 2016, 2017 and 2018 Hospital Readmissions Reduction Programs and include:
- Heart Attack (AMI)
- Heart Failure (HF)
- Pneumonia (PN)
- Hip/Knee Surgery (THA/TKA)
- Chronic Obstructive Pulmonary Disease (COPD)
- Coronary Artery Bypass Graft Surgery (CABG)
CMS calculates hospital readmissions rates on a rolling three-year aggregate basis and updates are published on Hospital Compare annually as part of the Hospital Inpatient Quality Reporting (IQR) Program. These readmission rates reflect Medicare inpatient fee-for-service (FFS) patients only and do not include patients enrolled in Medicare Advantage Plans.