College of Public Health students graduating

HMP Visiting Speaker - lunch provided

The Medicare Hospital Readmissions Reduction Program: Spillovers Into the Private Insurance Market

Date: Thursday, January 18, 2018 - 12:00pm to 1:00pm
Location: CPH 207
Presenter: Robert “Tyler” Braun

Sponsored by the UK College of Public Health Department of Health Management and Policy


Summary: Medicare’s Hospital Readmission Reduction Program (HRRP) was established by a provision in the Affordable Care Act (ACA) to reduce payments to hospitals with relatively high readmission rates for patients in Medicare Fee-For Service.  There have been significant decreases in targeted Medicare 30-day readmissions during the first five years of HRRP, however, the extent to which this policy has had unintended consequences is unclear.  The objective of this study is to explore spillover effects of the HRRP on hospital readmissions for privately insured patients. This study examines Medicare and privately insured readmissions for the three conditions that were first targeted by HRRP. Furthermore, the study also examines spillovers related to the HRRP by hospital performance. Overall, hospitals saw significant decreases in Medicare congestive heart failure and pneumonia readmissions after the HRRP. The HRRP had no effect on Medicare myocardial infraction readmissions. Additionally, there was no indication of spillovers for the privately insured. Results were relatively the same by hospital performance.