{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T03:55:29Z","timestamp":1775620529880,"version":"3.50.1"},"reference-count":31,"publisher":"American Medical Association (AMA)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Netw Open"],"DOI":"10.1001\/jamanetworkopen.2020.37320","type":"journal-article","created":{"date-parts":[[2021,2,20]],"date-time":"2021-02-20T16:11:13Z","timestamp":1613837473000},"page":"e2037320","source":"Crossref","is-referenced-by-count":11,"title":["Association of Inclusion of Medicare Advantage Patients in Hospitals\u2019 Risk-Standardized Readmission Rates, Performance, and Penalty Status"],"prefix":"10.1001","volume":"4","author":[{"given":"Orestis A.","family":"Panagiotou","sequence":"first","affiliation":[{"name":"Department of Health Services, Policy and Practice, Brown University School of Public Health, Providence, Rhode Island"},{"name":"Center for Gerontology and Healthcare Research, Brown University School of Public Health, Providence, Rhode Island"},{"name":"Providence Veterans Administration Medical Center, Providence, Rhode Island"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirsten R.","family":"Voorhies","sequence":"additional","affiliation":[{"name":"Center for Gerontology and Healthcare Research, Brown University School of Public Health, Providence, Rhode Island"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura M.","family":"Keohane","sequence":"additional","affiliation":[{"name":"Department of Health Policy, Vanderbilt University School of Medicine, Nashville, Tennessee"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daeho","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Health Services, Policy and Practice, Brown University School of Public Health, Providence, Rhode Island"},{"name":"Center for Gerontology and Healthcare Research, Brown University School of Public Health, Providence, Rhode Island"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepak","family":"Adhikari","sequence":"additional","affiliation":[{"name":"Center for Gerontology and Healthcare Research, Brown University School of Public Health, Providence, Rhode Island"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amit","family":"Kumar","sequence":"additional","affiliation":[{"name":"Northern Arizona University College of Health & Human Services, Flagstaff"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maricruz","family":"Rivera-Hernandez","sequence":"additional","affiliation":[{"name":"Department of Health Services, Policy and Practice, Brown University School of Public Health, Providence, Rhode Island"},{"name":"Center for Gerontology and Healthcare Research, Brown University School of Public Health, Providence, Rhode Island"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Momotazur","family":"Rahman","sequence":"additional","affiliation":[{"name":"Department of Health Services, Policy and Practice, Brown University School of Public Health, Providence, Rhode Island"},{"name":"Center for Gerontology and Healthcare Research, Brown University School of Public Health, Providence, Rhode Island"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro","family":"Gozalo","sequence":"additional","affiliation":[{"name":"Department of Health Services, Policy and Practice, Brown University School of Public Health, Providence, Rhode Island"},{"name":"Center for Gerontology and Healthcare Research, Brown University School of Public Health, Providence, Rhode Island"},{"name":"Providence Veterans Administration Medical Center, Providence, Rhode Island"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roee","family":"Gutman","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Brown University School of Public Health, Providence, Rhode Island"},{"name":"Center for Statistical Sciences, Brown University School of Public Health, Providence, Rhode Island"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincent","family":"Mor","sequence":"additional","affiliation":[{"name":"Department of Health Services, Policy and Practice, Brown University School of Public Health, Providence, Rhode Island"},{"name":"Center for Gerontology and Healthcare Research, Brown University School of Public Health, Providence, Rhode Island"},{"name":"Providence Veterans Administration Medical Center, Providence, Rhode Island"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amal N.","family":"Trivedi","sequence":"additional","affiliation":[{"name":"Department of Health Services, Policy and Practice, Brown University School of Public Health, Providence, Rhode Island"},{"name":"Center for Gerontology and Healthcare Research, Brown University School of Public Health, Providence, Rhode Island"},{"name":"Providence Veterans Administration Medical Center, Providence, Rhode Island"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10","published-online":{"date-parts":[[2021,2,17]]},"reference":[{"issue":"14","key":"zoi201113r1","doi-asserted-by":"publisher","first-page":"1418","DOI":"10.1056\/NEJMsa0803563","article-title":"Rehospitalizations among patients in the Medicare fee-for-service program.","volume":"360","author":"Jencks","year":"2009","journal-title":"N Engl J Med"},{"issue":"22","key":"zoi201113r3","doi-asserted-by":"publisher","first-page":"2163","DOI":"10.1056\/NEJMhpr1804089","article-title":"Medicare Advantage checkup.","volume":"379","author":"Neuman","year":"2018","journal-title":"N Engl J Med"},{"issue":"9","key":"zoi201113r4","doi-asserted-by":"publisher","first-page":"631","DOI":"10.7326\/M17-1492","article-title":"Applicability of publicly reported hospital readmission measures to unreported conditions and other patient populations: a cross-sectional all-payer study.","volume":"168","author":"Butala","year":"2018","journal-title":"Ann Intern Med"},{"issue":"10","key":"zoi201113r5","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.0040296","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies.","volume":"4","author":"von Elm","year":"2007","journal-title":"PLoS Med"},{"issue":"1","key":"zoi201113r8","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1377\/hlthaff.2016.1027","article-title":"Less intense postacute care, better outcomes for enrollees in Medicare Advantage than those in fee-for-service.","volume":"36","author":"Huckfeldt","year":"2017","journal-title":"Health Aff (Millwood)"},{"issue":"2","key":"zoi201113r9","doi-asserted-by":"publisher","first-page":"99","DOI":"10.7326\/M18-1795","article-title":"Hospital readmission rates in Medicare Advantage and traditional Medicare: a retrospective population-based analysis.","volume":"171","author":"Panagiotou","year":"2019","journal-title":"Ann Intern Med"},{"issue":"2","key":"zoi201113r11","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1161\/CIRCOUTCOMES.110.957498","article-title":"An administrative claims measure suitable for profiling hospital performance based on 30-day all-cause readmission rates among patients with acute myocardial infarction.","volume":"4","author":"Krumholz","year":"2011","journal-title":"Circ Cardiovasc Qual Outcomes"},{"issue":"1","key":"zoi201113r12","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1161\/CIRCOUTCOMES.108.802686","article-title":"An administrative claims measure suitable for profiling hospital performance on the basis of 30-day all-cause readmission rates among patients with heart failure.","volume":"1","author":"Keenan","year":"2008","journal-title":"Circ Cardiovasc Qual Outcomes"},{"issue":"3","key":"zoi201113r13","doi-asserted-by":"publisher","first-page":"142","DOI":"10.1002\/jhm.890","article-title":"Development, validation, and results of a measure of 30-day readmission following hospitalization for pneumonia.","volume":"6","author":"Lindenauer","year":"2011","journal-title":"J Hosp Med"},{"issue":"8","key":"zoi201113r17","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2019.8406","article-title":"Development and testing of improved models to predict payment using Centers for Medicare & Medicaid Services claims data.","volume":"2","author":"Krumholz","year":"2019","journal-title":"JAMA Netw Open"},{"issue":"1","key":"zoi201113r18","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1214\/ss\/1177013815","article-title":"Bootstrap methods for standard errors, confidence intervals, and other measures of statistical accuracy.","volume":"1","author":"Efron","year":"1986","journal-title":"Statist Sci"},{"issue":"13","key":"zoi201113r19","doi-asserted-by":"publisher","first-page":"1693","DOI":"10.1161\/CIRCULATIONAHA.105.611194","article-title":"An administrative claims model suitable for profiling hospital performance based on 30-day mortality rates among patients with heart failure.","volume":"113","author":"Krumholz","year":"2006","journal-title":"Circulation"},{"issue":"5","key":"zoi201113r22","doi-asserted-by":"publisher","first-page":"627","DOI":"10.1161\/CIRCOUTCOMES.114.001364","article-title":"Hospital cardiovascular outcome measures in federal pay-for-reporting and pay-for-performance programs: a brief overview of current efforts.","volume":"7","author":"Spivack","year":"2014","journal-title":"Circ Cardiovasc Qual Outcomes"},{"issue":"8476","key":"zoi201113r23","doi-asserted-by":"publisher","first-page":"307","DOI":"10.1016\/S0140-6736(86)90837-8","article-title":"Statistical methods for assessing agreement between two methods of clinical measurement.","volume":"1","author":"Bland","year":"1986","journal-title":"Lancet"},{"issue":"2","key":"zoi201113r24","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1177\/096228029900800204","article-title":"Measuring agreement in method comparison studies.","volume":"8","author":"Bland","year":"1999","journal-title":"Stat Methods Med Res"},{"issue":"8","key":"zoi201113r25","doi-asserted-by":"publisher","first-page":"593","DOI":"10.7326\/M17-2363","article-title":"Age-related differences in hospital quality of care for acute myocardial infarction: getting to the heart of the matter.","volume":"167","author":"Baker","year":"2017","journal-title":"Ann Intern Med"},{"issue":"8","key":"zoi201113r26","doi-asserted-by":"publisher","first-page":"555","DOI":"10.7326\/M16-2871","article-title":"Age differences in hospital mortality for acute myocardial infarction: implications for hospital profiling.","volume":"167","author":"Dharmarajan","year":"2017","journal-title":"Ann Intern Med"},{"issue":"9","key":"zoi201113r27","doi-asserted-by":"publisher","first-page":"670","DOI":"10.7326\/M18-0536","article-title":"Publicly reported readmission measures and the hospital readmissions reduction program: a false equivalence?","volume":"168","author":"Khera","year":"2018","journal-title":"Ann Intern Med"},{"issue":"16","key":"zoi201113r28","doi-asserted-by":"publisher","first-page":"1551","DOI":"10.1056\/NEJMsa1701791","article-title":"Effect of a hospital-wide measure on the readmissions reduction program.","volume":"377","author":"Zuckerman","year":"2017","journal-title":"N Engl J Med"},{"issue":"2","key":"zoi201113r29","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1097\/MLR.0000000000000455","article-title":"Does use of a hospital-wide readmission measure versus condition-specific readmission measures make a difference for hospital profiling and payment penalties?","volume":"54","author":"Rosen","year":"2016","journal-title":"Med Care"},{"issue":"2","key":"zoi201113r30","doi-asserted-by":"publisher","first-page":"290","DOI":"10.1001\/jamainternmed.2017.6148","article-title":"Association of coded severity with readmission reduction after the hospital readmissions reduction program.","volume":"178","author":"Ibrahim","year":"2018","journal-title":"JAMA Intern Med"},{"issue":"2","key":"zoi201113r31","doi-asserted-by":"publisher","first-page":"320","DOI":"10.1377\/hlthaff.2016.0768","article-title":"Projected coding intensity in Medicare Advantage could increase Medicare spending by $200 billion over ten years.","volume":"36","author":"Kronick","year":"2017","journal-title":"Health Aff (Millwood)"},{"key":"zoi201113r16","doi-asserted-by":"crossref","DOI":"10.1007\/978-0-387-77244-8","volume-title":"Clinical Prediction Models: A Practical Approach to Development, Validation, and Updating","author":"Steyerberg","year":"2009"},{"key":"zoi201113r2","unstructured":"James? J. Health policy brief: Medicare hospital readmissions reduction program.? Health Affairs. Published November 12, 2013. Accessed January 14, 2021. https:\/\/www.healthaffairs.org\/do\/10.1377\/hpb20131112.646839\/full\/"},{"key":"zoi201113r6","unstructured":"Research Data Assistace Center. Differences between the inpatient and MedPAR files. Published 2016. Accessed January 20, 2021. https:\/\/www.resdac.org\/articles\/differences-between-inpatient-and-medpar-files"},{"key":"zoi201113r7","unstructured":"Research Data Assistace Center. Identifying Medicare managed care beneficiaries from the master beneficiary summary or denominator files. Published 2011. Accessed January 20, 2021. https:\/\/www.resdac.org\/articles\/identifying-medicare-managed-care-beneficiaries-master-beneficiary-summary-or-denominator"},{"key":"zoi201113r10","unstructured":"Yale New Haven Health Services Corporation\/Center for Outcomes Research & Evaluation. 2016 Condition-specific measures updates and specifications report hospital-level 30-day risk-standardized readmission measures. Published 2016. Accessed January 14, 2021. http:\/\/aann.org\/uploads\/Condition_Specific_Readmission_Measures.pdf"},{"key":"zoi201113r14","unstructured":"Yale New Haven Health Services Corporation\/Center for Outcomes Research & Evaluation. Hospital-wide all-cause unplanned readmission measure\u2014version 4.0. Published 2015. Accessed January 20, 2021. https:\/\/www.cms.gov\/Medicare\/Quality-Initiatives-Patient-Assessment-Instruments\/HospitalQualityInits\/Downloads\/Hospital-Wide-All-Cause-Readmission-Updates.zip"},{"key":"zoi201113r15","unstructured":"Yale New Haven Health Services Corporation\/Center for Outcomes Research & Evaluation. Hospital-wide all-cause unplanned readmission measure. Published 2012. Accessed January 20, 2021. https:\/\/www.cms.gov\/Medicare\/Quality-Initiatives-Patient-Assessment-Instruments\/HospitalQualityInits\/Downloads\/Hospital-Wide-All-Cause-Readmission-Updates.zip"},{"key":"zoi201113r20","unstructured":"Medicare Payment Advisory Commission (MedPAC). Chapter 4: refining the hospital readmissions reduction program. Published 2013. Accessed January 14, 2021. http:\/\/www.medpac.gov\/docs\/default-source\/reports\/jun13_ch04.pdf"},{"key":"zoi201113r21","unstructured":"Center for Medicare and Medicaid Services (CMS). Readmissions Reduction Program (HRRP). Published 2018. Accessed July 3, 2018. https:\/\/www.cms.gov\/medicare\/medicare-fee-for-service-payment\/acuteinpatientpps\/readmissions-reduction-program"}],"container-title":["JAMA Network Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/articlepdf\/2776528\/panagiotou_2021_oi_201113_1612905971.97836.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,2,20]],"date-time":"2021-02-20T16:11:28Z","timestamp":1613837488000},"score":1,"resource":{"primary":{"URL":"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/fullarticle\/2776528"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,17]]},"references-count":31,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,2,1]]}},"URL":"https:\/\/doi.org\/10.1001\/jamanetworkopen.2020.37320","relation":{},"ISSN":["2574-3805"],"issn-type":[{"value":"2574-3805","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2,17]]}}}