![]() Many observers have expressed concern about the program since it increases the risk of penalty for hospitals that serve higher proportions of uninsured, low income, and medically vulnerable patients – that is, safety-net hospitals – and therefore could adversely affect the financial viability of the hospitals and the services to the poor and vulnerable patients. Financial penalties, which took the form of a percentage reduction in Medicare payments for a hospital’s inpatient care services, were levied on IPPS hospitals for excess readmissions starting Octo(fiscal year (FY) 2013), with up to 1% of qualifying hospitals’ total Medicare reimbursements being withheld in the first year the maximum penalty increased to 3% in FY 2015 and has been capped at this level. Under HRRP, the Centers for Medicare and Medicaid Services (CMS), was mandated to review Medicare fee-for-service (FFS) hospitals paid under the Medicare Inpatient Prospective Payment System (IPPS) and impose financial penalties on the hospitals that exhibited higher-than-expected 30-day readmission rate for specified clinical conditions. The Hospital Readmissions Reduction Program (HRRP), enacted as part of the 2010 Affordable Care Act, aimed to reduce preventable hospital readmissions as a way to lower inpatient costs without compromising quality of care. The Creative Commons Public Domain Dedication waiver ( ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. ![]() ![]() The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. ![]()
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