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Regression to the Mean in the Medicare Hospital Readmissions Reduction Program.
JAMA Intern Med
September 2019
Sol Price School of Public Policy, Department of Health Policy and Management, University of Southern California, Los Angeles.
Importance: Excess 30-day readmissions have declined substantially in hospitals initially penalized for high readmission rates under the Medicare Hospital Readmissions Reduction Program (HRRP). Although a possible explanation is that the policy incentivized penalized hospitals to improve care processes, another is regression to the mean (RTM), a statistical phenomenon that predicts entities farther from the mean in one period are likely to fall closer to the mean in subsequent (or preceding) periods owing to random chance.
Objective: To quantify the contribution of RTM to declining readmission rates at hospitals initially penalized under the HRRP.
Does CVS-Aetna Spell the End of Business as Usual?
N Engl J Med
February 2018
From the Department of General Management, Harvard Business School, Boston, and the Kennedy School of Government, Harvard University, and the National Bureau of Economic Research, Cambridge - all in Massachusetts.
The CVS-Aetna Merger: Another Large Bet on the Changing U.S. Health Care Landscape.
Ann Intern Med
April 2018
Northwestern University Kellogg School of Management, Evanston, Illinois (C.G.).
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