Abstract
Improving the Hospital-Acquired Condition Reduction Program through Rulemaking.
Highlights
The HACRP legislation (Affordable Care Act section 3008)[8] requires that hospitals in the worstperforming quartile by HAC rate receive a 1% Medicare inpatient payment penalty
The current methodology is insufficient to address the large heterogeneity across patients and hospitals
Hospitals performing more surgeries face increased risk for additional HACs, because patients undergoing surgery are eligible for more HACRP measures
Summary
The HACRP legislation (Affordable Care Act section 3008)[8] requires that hospitals in the worstperforming quartile by HAC rate receive a 1% Medicare inpatient payment penalty. Risk adjustment variables are used to calculate hospitals’ expected number of HACs (to compare with the observed number), affecting hospital performance comparisons. The HACRP measures incorporate wide-ranging diagnoses, increasing heterogeneity in patient characteristics across hospitals.
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