Dr. Karen E. Joynt from Brigham and Women’s Hospital and Harvard T. H. Chan School of Public Health, Boston, Massachusetts told Reuters Health by email, “The findings suggest that hospitals are responding to financial incentives, at least to some degree. However, after an initial decline in readmissions, the rate of improvement really leveled off in 2014-2015. It’s not clear why that should happen, given that penalties were actively being assessed, and in fact getting larger, during that time frame. That was also when the most hospitals were participating in ACOs and/or BPCI.”
“As ACOs, BPCI, and other programs continue to expand, and as value-based purchasing (VBP) programs in the outpatient and post-acute settings ramp up, it will be important to continue to look at the data and determine whether the decline in readmission rates restarts,” she said.
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