FFY 2023 IPPS Final Rule: Hospital Readmissions Reduction Program (HRRP) Adjustment

CMS finalizes the following for FFY 2023:

• Resumption of the hospital 30-Day, All-Cause, Risk- Standardized Readmission Rate (RSRR) following Pneumonia Hospitalization measure (NQF #0506) for the FFY 2024 program year;

• Modification of the Hospital 30-Day, All-Cause, Risk-Standardized Readmission Rate (RSRR) following Pneumonia Hospitalization measure (NQF #0506) to exclude COVID-19 diagnosed patients from the measure denominator, beginning with the Hospital Specific Reports (HSRs) for the FFY 2023 program year; and

• Modification of all six condition/procedure-specific measures to include a covariate adjustment for patient history of COVID-19 within one year prior to the index admission beginning with the FFY 2023 program year.

CMS received public comment on the impact of socially at-risk populations and the readmission program and states this information will be used to inform future policy development. 

For more information, please contact Scott Besler at (925) 685-9312 or scott.besler@toyonassociates.com.