Penalties for Readmissions Reduce Readmissions at New York Hospitals, but at the Cost of Increasing Attendance at Emergency Departments.

The CLAHRC WM Director is always concerned about possible perverse effects of incentives. Sure, do all you can to ensure a decent handover of care, but only a small proportion of readmissions are avoidable. Anyway, a recent difference in difference analysis in New York State [1] suggests that financial penalties, while reducing readmissions, were associated with a small but significantly increased rate of attendance at the Emergency Department. Again the law of unintended consequences.

— Richard Lilford, CLAHRC WM Director

Reference:

  1. McGarry B, Blankley A, Li Y. The Impact of the Medicare Hospital Readmission Reduction Program in New York State. Med Care. 2016; 54(2): 162-71.
Advertisements

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s