What is HRRP?
What does HRRP stand for?
Hospital Readmissions Reduction Program
True or False.
HRRP incentivizes providers to focus on care not just in acute settings, but across the care continuum.
True
_____% of hospitals received penalties under HRRP in FY 2020 which equated to ____ million in Medicare payment penalties.
83%
563 million
What year did HRRP start?
What is 2012?
What age group accounts for the highest number of 30 day readmissions?
What are 75-84 year olds?
How long does CMS collect readmission data for a hospital prior to the year the penalty is assigned?
3 years
Hospitals need to make a better long term commitment to reduce readmissions, whether that's through better discharge planning or broader pop health initiatives.
True or False.
HRRP is motivated to reduce the number of Medicare patients being readmitted to acute care hospitals within 45 days?
False
30 days
What is the maximum % penalty hospitals can face for Medicare payments under HRRP?
What is 3%?
On average, _____ number of patients are readmitted to the hospital each year which costs Medicare _____.
CMS estimates _____ billion of that comes from potentially avoidable readmissions.
2 million
26 billion
17 billion (more than half!)
What is the purpose of HRRP?
The purpose of this program is to motivate acute care hospitals to reduce the number of Medicare patients readmitted within 30 days of having been discharged.
True or False.
Unlike Value-Based Purchasing, another Medicare P4P program, the HRRP does not offer monetary rewards for high performance. The HRRP only gives a penalty for under-performing hospitals.
True
Where are hospital's readmission rates published?
100 bonus points for answering why this matters?
What is CMS's website (Medicare.gov).
Beyond payment penalties, hospital reputations are also at stake, as readmission rates are published and public knowledge.
True or False.
HRRP is an optional program and only penalizes hospitals that participate in it.
False.
It is a mandatory program
Name 4 of the 6 conditions or procedures that HRRP considers readmissions rates for?
An extra 100 points if you can name all 6.
acute myocardial infarction (AMI), heart failure, pneumonia, chronic obstructive pulmonary disease (COPD), elective total hip and/or knee replacement and coronary artery bypass graft (CAPG)
True or False.
Hospital readmissions occur for a variety of reasons. Some are avoidable and some are unavoidable. Thus, the cause of readmissions is important to CMS.
False.
HRRP does not segment by cause of readmission. It incentives hospitals to revamp discharge processes, improve compliance and optimize treatment for all patients.