Pay-for-performance programs designed to reduce primary care physician, or PCP, readmission rates may not be effective because of little variation in 30-day readmission rates among primary care physicians, according to a recent retrospective cohort study published in the Annals of Internal Medicine.
“Prompted by the high cost, poor quality, and hospital variation associated with readmissions, CMS launched the Hospital Readmissions Reduction Program, a pay-for-performance program that encourages hospitals to reduce readmissions by decreasing payments to hospitals with excess readmissions,” Siddhartha Singh, MS, MS, of the Medical College of Wisconsin, and colleagues wrote. “Evidence suggests that the program may have succeeded in reducing readmissions. Nevertheless, rates remain high, and further improvements will require a better understanding of other factors that may inﬂuence readmissions.”
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