Клиническая и экспериментальная кардиология
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Effect of Regulatory Readmission Penalties on Transitional Care

Aishwarrya Deore1*, Ranjani Krishnan2, Anand Nair2

The Affordable Care Act (ACA) announced in 2010 introduced the Hospital Readmissions Reduction Program (HRRP) which penalizes hospitals if their 30-day readmission rates for Acute Myocardial Infarction (AMI), Heart Failure (HF), or Pneumonia (PN) are higher than expected, relative to a comparable hospital. An extension of a recent study, which examines positive intra-ailment and spillover effects of the ACA regulation on transitional care, a particular type of continuity of care which refers to the discharge of a patient from intensive hospital-based care to another type of recovery facility. Transitional continuity of care is a critical part of the healthcare delivery process. Using econometric methods and patient-level data for 2004-2014 from the state of California we extend the study and find that transitional continuity of care improved for each of the three targeted ailments as well as for their clinical verticals.