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Reducing Hospital Readmissions Payment Incentives September 2011

Reducing Hospital Readmissions Payment Incentives September 2011

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Published by Patricia Dillon

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Published by: Patricia Dillon on Feb 22, 2013
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Reducing Hospital Readmissionsin New York State:A Simulation Analysisof AlternativePayment Incentives
Sb 2011
Deborah CholletAllison BarrettTimothy Lake
athematica olicy esearch
 
Contents
I. Introduction
1
II. Hospital eadmissions in New York State
4
III. Hospital Strateies to educe eadmissions
15Factors that Contribute to Readmissions 15Interventions to Reduce Readmissions 16
IV. ayment Incentives to educe eadmissions
19Direct Costs 19Indirect Costs 21Financial Benefts 22Pay or Perormance 22Episode-Based Payments 23
V. ayment eorm Simulations
24Hospital Response to P4P 25Hospital Response to Episode-Based Payments 27Eect on the Number o Readmissions 28Eect on Hospital Payments 29Direct Payment or Clinical Interventions 30
VI. Summary and Concludin emarks
33
eerences
34
echnical Appendix
36
Reducing Hospital Readmissions in New York State: A Simulation Analysis of Alternative Payment Incentives
 
Reducing Hospital Readmissions in New York State: A Simulation Analysis of Alternative Payment Incentives
T
he authors are grateul to the New York State Health Foundation and especially toSenior Vice President David R. Sandman. Dr. Sandman provided valuable suggestionsand support throughout the process, and oered thoughtul comments on earlydrats o the research design, fndings, and report. His guidance and insights areevident in the report.In addition, we would like to acknowledge Greg Peterson at Mathematica Policy Research,who helped to develop the literature review, and Donna Dorsey, who produced the dratand fnal manuscripts.Support or this work was provided by the New York State Health Foundation(NYSHealth). The mission o NYSHealth is to expand health insurance coverage,increase access to high-quality health care services, and improve public and communityhealth. The views presented here are those o the authors and not necessarily thoseo the New York State Health Foundation or its directors, ofcers, and sta.
Acknowledgements

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