Adjusting for social risk factors impacts performance and penalties in the hospital readmissions reduction program

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Hospital Readmissions from Patients’ Perspectives

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Persistent Disparity: Socioeconomic Deprivation and Cancer Outcomes in Patients Treated in Clinical Trials

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Social Determinants of Health and 90‐Day Mortality After Hospitalization for Heart Failure in the REGARDS Study

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Health-Related Social Needs and Increased Readmission Rates: Findings from the Nationwide Readmissions Database

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Social Vulnerability And Outcomes For Access-Sensitive Surgical Conditions Among Medicare Beneficiaries

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Neighborhood Socioeconomic Disadvantage and Mortality Among Medicare Beneficiaries Hospitalized for Acute Myocardial Infarction, Heart Failure, and Pneumonia

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Relationship of a Claims-Based Frailty Index to Annualized Medicare Costs

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Adjusting Quality Measures For Social Risk Factors Can Promote Equity In Health Care

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The Affordable Care Act at 10 Years — Payment and Delivery System Reforms

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Comparing Deprivation vs Vulnerability Index Performance Using Medicare Beneficiary Surgical Outcomes

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Implementing screening for social determinants of health using the Core 5 screening tool

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Evaluating the complex association between Social Vulnerability Index and trauma mortality

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Eradicating Racism: An Endocrine Society Policy Perspective

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A Theoretical Framework for Clinical Implementation of Social Determinants of Health

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Social Determinants of Health and 30-Day Readmissions Among Adults Hospitalized for Heart Failure in the REGARDS Study

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Social Determinants Matter For Hospital Readmission Policy: Insights From New York City

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Evaluation of Hospital Performance Using the Excess Days in Acute Care Measure in the Hospital Readmissions Reduction Program

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Strategies to Reduce Low-Value Cardiovascular Care: A Scientific Statement From the American Heart Association

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Analysis of Hospital Operating Margins and Provision of Safety Net Services

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Association of Medicaid Expansion With Quality in Safety-Net Hospitals

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Reducing Readmissions by Addressing the Social Determinants of Health

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Cardiovascular, kidney, and metabolic health: an actionable vision for heart failure prevention

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Evaluation of the Merit-Based Incentive Payment System and Surgeons Caring for Patients at High Social Risk

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Risk Management in the Service Supply Chain: Evidence From the Healthcare Sector

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Does hospital location matter? Association of neighborhood socioeconomic disadvantage with hospital quality in US metropolitan settings

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Readmissions performance and penalty experience of safety-net hospitals under Medicare’s Hospital Readmissions Reduction Program

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Accounting for the Growth of Observation Stays in the Assessment of Medicare’s Hospital Readmissions Reduction Program

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Insurance Status and Socioeconomic Markers Affect Readmission Rates After Cardiac Valve Surgery

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Value-Based Payment for Clinicians Treating Cardiovascular Disease: A Policy Statement From the American Heart Association

Sandhu, A. T., Heidenreich, P. A., Borden, W. B., Farmer, S. A., Ho, P. M., Hammond, G., Johnson, J. C., Wadhera, R. K., Wasfy, J. H., Biga, C., et al. (2023) · Circulation · doi:10.1161/cir.0000000000001143 · Cited by 22 · see citing works

Psychometric Evaluation of the Screener for Intensifying Community Referrals for Health

Guo, J., Wallace, A. S., Luther, B. L., & Wong, B. G. (2021) · Evaluation & the Health Professions · doi:10.1177/01632787211029360 · Cited by 22 · see citing works

Magnet Hospitals and 30-Day Readmission and Mortality Rates for Medicare Beneficiaries

Hamadi, H. Y., Martinez, D., Palenzuela, J., & Spaulding, A. (2020) · Medical Care · doi:10.1097/mlr.0000000000001427 · Cited by 22 · see citing works

Disparate Impact: How Colorblind Policies Exacerbate Black–White Health Inequities

Delaney, S., Essien, U. R., & Navathe, A. S. (2021) · Annals of Internal Medicine · doi:10.7326/m21-1748 · Cited by 22 · see citing works

Interoperability among hospitals treating populations that have been marginalized

Everson, J., Patel, V., Bazemore, A. W., & Phillips, R. L. (2023) · Health Services Research · doi:10.1111/1475-6773.14165 · Cited by 21 · see citing works

Racial, Ethnic, and Socioeconomic Inequities in Access to Left Atrial Appendage Occlusion

Reddy, K. P., Eberly, L. A., Halaby, R. N., Julien, H. M., Khatana, S. A. M., Dayoub, E. J., Coylewright, M. J., Alkhouli, M. A., Fiorilli, P. N., Kobayashi, T., et al. (2023) · Journal of the American Heart Association · doi:10.1161/jaha.122.028032 · Cited by 21 · see citing works

Population Characteristics and Organ Procurement Organization Performance Metrics

López, R., Mohan, S., & Schold, J. D. (2023) · JAMA Network Open · doi:10.1001/jamanetworkopen.2023.36749 · Cited by 20 · see citing works

Association of Medicaid Eligibility With Surgical Readmission Among Medicare Beneficiaries

Cher, B. A. Y., Ryan, A. M., Hoffman, G. J., & Sheetz, K. H. (2020) · JAMA Network Open · doi:10.1001/jamanetworkopen.2020.7426 · Cited by 20 · see citing works

Should We Implement Geographic or Patient-Reported Social Determinants of Health Measures in Cardiovascular Patients?

Kostelanetz, S., Gravio, C. D., Schildcrout, J. S., Roumie, C. L., Conway, D., & Kripalani, S. B. (2021) · Ethnicity & Disease · doi:10.18865/ed.31.1.9 · Cited by 20 · see citing works

Social Risk Factors in Society of Thoracic Surgeons Risk Models. Part 1: Concepts, Indicator Variables, and Controversies

Shahian, D. M., Badhwar, V., O’Brien, S. M., Habib, R., Han, J., McDonald, D. E., Antman, M. S., Higgins, R. S. D., Preventza, O., Estrera, A. L., et al. (2022) · The Annals of Thoracic Surgery · doi:10.1016/j.athoracsur.2021.11.067 · Cited by 19 · see citing works

Evaluating How Safety-Net Hospitals Are Identified: Systematic Review and Recommendations

Powell, W. R., Hansmann, K. J., Carlson, A., & Kind, A. (2022) · Health Equity · doi:10.1089/heq.2021.0076 · Cited by 20 · see citing works

Race Does Not Impact Sepsis Outcomes When Considering Socioeconomic Factors in Multilevel Modeling

Guillamet, C. V., Dodda, S., Liu, L., Kollef, M. H., & Micek, S. T. (2021) · Critical Care Medicine · doi:10.1097/ccm.0000000000005217 · Cited by 19 · see citing works

Association Between Neighborhood Disadvantage and Pediatric Readmissions

Nacht, C. L., Kelly, M. M., Edmonson, M. B., Sklansky, D. J., Shadman, K. A., Kind, A., Zhao, Q., Barreda, C. B., & Coller, R. J. (2022) · Maternal and Child Health Journal · doi:10.1007/s10995-021-03310-4 · Cited by 19 · see citing works

Developing an actionable patient taxonomy to understand and characterize high-cost Medicare patients

Zhang, Y., Grinspan, Z. M., Khullar, D., Unruh, M. A., Shenkman, E. A., Cohen, A., & Kaushal, R. (2020) · Healthcare · doi:10.1016/j.hjdsi.2019.100406 · Cited by 19 · see citing works

Paying for Performance Improvement in Quality and Outcomes of Cardiovascular Care: Challenges and Prospects

Husaini, M., & Maddox, K. E. J. (2020) · Methodist DeBakey Cardiovascular Journal · doi:10.14797/mdcj-16-3-225 · Cited by 18 · see citing works

Social Risk Adjustment In The Hospital Readmissions Reduction Program: A Systematic Review And Implications For Policy

Rogstad, T. L., Gupta, S., Connolly, J., Shrank, W. H., & Roberts, E. T. (2022) · Health Affairs · doi:10.1377/hlthaff.2022.00614 · Cited by 17 · see citing works

Cost of Failure to Achieve Textbook Outcomes: Association of Insurance Type with Outcomes and Cumulative Cost for Inpatient Surgery

Jacobs, M. A., Kim, J., Tetley, J. C., Schmidt, S., Brimhall, B., Mika, V., Wang, C.-P., Manuel, L. S., Damien, P., & Shireman, P. (2022) · Journal of the American College of Surgeons · doi:10.1097/xcs.0000000000000468 · Cited by 16 · see citing works

Association of Social Risk Factors With Home Dialysis and Kidney Transplant Rates in Dialysis Facilities

Thorsness, R., Wang, V., Patzer, R. E., Drewry, K. M., Mor, V., Rahman, M., & Trivedi, A. N. (2021) · JAMA · doi:10.1001/jama.2021.18372 · Cited by 16 · see citing works

Performance and Penalties in Year 1 of the Skilled Nursing Facility Value‐Based Purchasing Program

Qi, A. C., Luke, A. A., Crecelius, C., & Maddox, K. E. J. (2019) · Journal of the American Geriatrics Society · doi:10.1111/jgs.16299 · Cited by 16 · see citing works

Social Risk Adjustment in Health Care Performance Measures

Tran, L. D. (2020) · JAMA Network Open · doi:10.1001/jamanetworkopen.2020.8020 · Cited by 16 · see citing works

Exit Rates of Accountable Care Organizations That Serve High Proportions of Beneficiaries of Racial and Ethnic Minority Groups

Lin, S. C., Maddox, K. E. J., Ryan, A. M., Moloci, N. M., Shay, A., & Hollingsworth, J. M. (2022) · JAMA Health Forum · doi:10.1001/jamahealthforum.2022.3398 · Cited by 16 · see citing works

Association of Insurance Type With Inpatient Surgery 30-Day Complications and Costs

Simon, R. C., Kim, J.-S., Schmidt, S., Brimhall, B. B., Salazar, C. I., Wang, C., Wang, Z., Sarwar, Z. U., Manuel, L., Damien, P., et al. (2022) · Journal of Surgical Research · doi:10.1016/j.jss.2022.09.006 · Cited by 15 · see citing works

The association of patient‐reported social determinants of health and hospitalization rate: A scoping review

Ardekani, A., Fereidooni, R., Heydari, S. T., Ghahramani, S., Shahabi, S., & Lankarani, K. B. (2023) · Health Science Reports · doi:10.1002/hsr2.1124 · Cited by 15 · see citing works

Social Determinants of Health and Cardiologist Involvement in the Care of Adults Hospitalized for Heart Failure

Zhang, D. T., Onyebeke, C. O., Nahid, M., Balkan, L., Musse, M., Pinheiro, L. C., Sterling, M. R., Durant, R. W., Brown, T. M., Levitan, E. B., et al. (2023) · JAMA Network Open · doi:10.1001/jamanetworkopen.2023.44070 · Cited by 15 · see citing works

Neighborhood disadvantage and 30-day readmission risk following Clostridioides difficile infection hospitalization

Scaria, E., Powell, W. R., Birstler, J., Alagöz, O., Shirley, D. K., Kind, A., & Safdar, N. (2020) · BMC Infectious Diseases · doi:10.1186/s12879-020-05481-x · Cited by 15 · see citing works

Performance in Federal Value-Based Programs of Hospitals Recognized by the American Heart Association and American College of Cardiology for High-Quality Heart Failure and Acute Myocardial Infarction Care

Wadhera, R. K., Vaduganathan, M., Jiang, G. Y., Song, Y., Xu, J., Shen, C., Bhatt, D. L., Yeh, R. W., & Fonarow, G. C. (2020) · JAMA Cardiology · doi:10.1001/jamacardio.2020.0001 · Cited by 15 · see citing works

Value-Based Payment in Medicare: Progress, Challenges, and Future Directions

Figueroa, J. F., Duggan, C. E., & Maddox, K. E. J. (2025) · Journal of Health Politics Policy and Law · doi:10.1215/03616878-11995200 · Cited by 14 · see citing works

Impact of Social Needs in Electronic Health Records and Claims on Health Care Utilization and Costs Risk-Adjustment Models Within Medicaid Population

Pandya, C., Hatef, E., Wu, J.-B., Richards, T., Weiner, J., & Kharrazi, H. (2022) · Population health management · doi:10.1089/pop.2022.0069 · Cited by 14 · see citing works

Measurement for Improvement

Toulany, A., & Shojania, K. G. (2025) · Cambridge University Press eBooks · doi:10.1017/9781009326063 · Cited by 12 · see citing works

Readmission After ACS: Burden, Epidemiology, and Mitigation

Boulos, P. K., Messenger, J. C., & Waldo, S. W. (2022) · Current Cardiology Reports · doi:10.1007/s11886-022-01702-8 · Cited by 12 · see citing works

Neighborhood deprivation and Medicare expenditures for common surgical procedures

Bonner, S. N., Kunnath, N. J., Dimick, J. B., & Ibrahim, A. M. (2022) · The American Journal of Surgery · doi:10.1016/j.amjsurg.2022.06.004 · Cited by 13 · see citing works

Association of Psychosocial Factors and Hospital Complications with Risk for Readmission After Trauma

Killien, E. Y., Huijsmans, R. L. N., Vavilala, M. S., Schleyer, A. M., Robinson, E. F., Maine, R. G., & Rivara, F. P. (2021) · Journal of Surgical Research · doi:10.1016/j.jss.2021.02.031 · Cited by 12 · see citing works

Three-Year Impact Of Stratification In The Medicare Hospital Readmissions Reduction Program

Shashikumar, S. A., Waken, R. J., Aggarwal, R., Wadhera, R. K., & Maddox, K. E. J. (2022) · Health Affairs · doi:10.1377/hlthaff.2021.01448 · Cited by 12 · see citing works

New Strategies to Prevent Rehospitalizations for Heart Failure

Diamond, J. E., & DeVore, A. D. (2022) · Current Treatment Options in Cardiovascular Medicine · doi:10.1007/s11936-022-00969-y · Cited by 14 · see citing works

Changes in Dialysis Center Quality Associated With the End-Stage Renal Disease Quality Incentive Program

Sheetz, K. H., Gerhardinger, L. J., Ryan, A. M., & Waits, S. A. (2021) · Annals of Internal Medicine · doi:10.7326/m20-6662 · Cited by 11 · see citing works

Is the Centers for Medicare and Medicaid Services Hierarchical Condition Category Risk Adjustment Model Satisfactory for Quantifying Risk After Spine Surgery?

Chan, A. K.-H., Shahrestani, S., Ballatori, A. M., Orrico, K. O., Manley, G. T., Tarapore, P. E., Huang, M. C., Dhall, S. S., Chou, D., Mummaneni, P. V., et al. (2022) · Neurosurgery · doi:10.1227/neu.0000000000001980 · Cited by 11 · see citing works

Predictors of 30-day readmission in Stevens-Johnson syndrome and toxic epidermal necrolysis: A cross-sectional database study

Guzman, A. K., Zhang, M., Kwatra, S. G., & Kaffenberger, B. H. (2019) · Journal of the American Academy of Dermatology · doi:10.1016/j.jaad.2019.09.017 · Cited by 11 · see citing works

Man vs. Machine: Comparing Physician vs. Electronic Health Record–Based Model Predictions for 30-Day Hospital Readmissions

Nguyen, O. K., Washington, C., Clark, C. R., Miller, M. E., Patel, V. A., Halm, E. A., & Makam, A. N. (2021) · Journal of General Internal Medicine · doi:10.1007/s11606-020-06355-3 · Cited by 11 · see citing works

Machine-learning prediction of unplanned 30-day rehospitalization using the French hospital medico-administrative database

Jaotombo, F. F., Pauly, V., Auquier, P., Orléans, V., Boucékine, M., Fond, G. B., Ghattas, B., & Boyer, L. (2020) · Medicine · doi:10.1097/md.0000000000022361 · Cited by 10 · see citing works

A review of socioeconomic factors associated with acute myocardial infarction-related mortality and hospital readmissions

Buckman, M., Grant, A., Henson, S., Ribeiro, J., Roth, K., Stranton, D., Korvink, M., & Gunn, L. H. (2021) · Hospital Practice · doi:10.1080/21548331.2021.2022357 · Cited by 10 · see citing works

Association between Medicare’s Hospital Readmission Reduction Program and readmission rates across hospitals by medicare bed share

Banerjee, S., Paasche‐Orlow, M. K., McCormick, D., Lin, M., & Hanchate, A. D. (2021) · BMC Health Services Research · doi:10.1186/s12913-021-06253-2 · Cited by 10 · see citing works

Examining the association of social risk with heart failure readmission in the Veterans Health Administration

Wray, C. M., Vali, M., Walter, L. C., Christensen, L. M., Chapman, W. W., Austin, P. C., Byers, A. L., & Keyhani, S. (2021) · BMC Health Services Research · doi:10.1186/s12913-021-06888-1 · Cited by 10 · see citing works

Development, implementation, and evaluation of Teach Back curriculum for community health workers

Holcomb, J. L., Ferguson, G. M., Thornton, L., & Highfield, L. D. (2022) · Frontiers in Medicine · doi:10.3389/fmed.2022.918686 · Cited by 9 · see citing works

Association of Discharge Disposition with Outcomes

Chovanec, K., Arsene, C., Beck, A., Zachrich, K., Liedel, B., & Wolff-Elliott, J. (2020) · Population Health Management · doi:10.1089/pop.2019.0176 · Cited by 9 · see citing works

Are Improvements Still Needed to the Modified Hospital Readmissions Reduction Program: a Health and Retirement Study (2000–2014)?

Hsuan, C., Braun, T., Ponce, N. A., & Hoffman, G. J. (2020) · Journal of General Internal Medicine · doi:10.1007/s11606-020-06222-1 · Cited by 9 · see citing works

Determining the feasibility of an index of the social determinants of health using data from public sources

Wang, A., Kho, A., Black, B. S., & French, D. D. (2021) · Informatics for Health and Social Care · doi:10.1080/17538157.2021.1880413 · Cited by 9 · see citing works

Residual Confounding in Health Plan Performance Assessments: Evidence From Randomization in Medicaid

Wallace, J., McWilliams, J. M., Lollo, A., Eaton, J., & Ndumele, C. D. (2022) · Annals of Internal Medicine · doi:10.7326/m21-0881 · Cited by 9 · see citing works

Social Risk Adjustment In The Hospital Readmissions Reduction Program: A Systematic Review And Implications For Policy

Rogstad, T. L., Gupta, S., Connolly, J., Shrank, W. H., & Roberts, E. T. (2022) · Health Affairs · doi:10.1377/hlthaff.2022.00614 · Cited by 17 · see citing works

ADJUSTING FOR RISK FACTORS FOR READMISSION: IMPLICATIONS FOR MEDICARE’S HOSPITAL READMISSION PROGRAM

Roberts, E. T., Zaslavsky, A. M., Barnett, M. L., Landon, B. E., Ding, L., & McWilliams, J. M. (2018) · Innovation in Aging · doi:10.1093/geroni/igy023.1360

Hospital readmissions reduction program penalizes safety net hospital clinicians

Kirsch, S. F., Elsir, Y., Shelford, K., Vail, J., & Wildermuth, A. (2024) · JAAPA · doi:10.1097/01.jaa.0000000000000161

Are Improvements Still Needed to the Modified Hospital Readmissions Reduction Program: a Health and Retirement Study (2000–2014)?

Hsuan, C., Braun, T., Ponce, N. A., & Hoffman, G. J. (2020) · Journal of General Internal Medicine · doi:10.1007/s11606-020-06222-1 · Cited by 9 · see citing works

Modifications to the Hospital Readmissions Reduction Program: Improvements Still Needed?

Hsuan, C., Braun, T., Ponce, N. A., & Hoffman, G. J. (2020) · Health Services Research · doi:10.1111/1475-6773.13405