{"id":"https://openalex.org/W2939028443","doi":"https://doi.org/10.1001/jamainternmed.2019.0117","title":"Association of Stratification by Dual Enrollment Status With Financial Penalties in the Hospital Readmissions Reduction Program","display_name":"Association of Stratification by Dual Enrollment Status With Financial Penalties in the Hospital Readmissions Reduction Program","publication_year":2019,"publication_date":"2019-04-15","ids":{"openalex":"https://openalex.org/W2939028443","doi":"https://doi.org/10.1001/jamainternmed.2019.0117","mag":"2939028443","pmid":"https://pubmed.ncbi.nlm.nih.gov/30985863","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/6547154"},"language":"en","primary_location":{"id":"doi:10.1001/jamainternmed.2019.0117","doi":"https://doi.org/10.1001/jamainternmed.2019.0117","is_oa":true,"landing_page_url":"https://doi.org/10.1001/jamainternmed.2019.0117","pdf_url":"https://jamanetwork.com/journals/jamainternalmedicine/articlepdf/2730354/jamainternal_joynt_maddox_2019_oi_190007.pdf","source":{"id":"https://openalex.org/S65364685","display_name":"JAMA Internal Medicine","issn_l":"2168-6106","issn":["2168-6106","2168-6114"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA Internal Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://jamanetwork.com/journals/jamainternalmedicine/articlepdf/2730354/jamainternal_joynt_maddox_2019_oi_190007.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5014829089","display_name":"Karen E. Joynt Maddox","orcid":"https://orcid.org/0000-0003-3779-8653","observed_orcids":["https://orcid.org/0000-0003-3779-8653"]},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Karen E. Joynt Maddox","raw_affiliation_strings":["Cardiovascular Division, Department of Medicine, Washington University School of Medicine, St Louis, Missouri"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cardiovascular Division, Department of Medicine, Washington University School of Medicine, St Louis, Missouri","institution_ids":["https://openalex.org/I204465549"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5025000152","display_name":"Mat Reidhead","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mat Reidhead","raw_affiliation_strings":["Missouri Hospital Association, Hospital Industry Data Institute, Jefferson City"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Missouri Hospital Association, Hospital Industry Data Institute, Jefferson City","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5062404819","display_name":"Andrew C. Qi","orcid":"https://orcid.org/0009-0000-2709-4025","observed_orcids":["https://orcid.org/0009-0000-2709-4025","https://orcid.org/0000-0001-8814-3062"]},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Andrew C. Qi","raw_affiliation_strings":["Cardiovascular Division, Department of Medicine, Washington University School of Medicine, St Louis, Missouri"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cardiovascular Division, Department of Medicine, Washington University School of Medicine, St Louis, Missouri","institution_ids":["https://openalex.org/I204465549"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5091429148","display_name":"David R. Nerenz","orcid":"https://orcid.org/0000-0002-5050-5950","observed_orcids":["https://orcid.org/0000-0002-5050-5950"]},"institutions":[{"id":"https://openalex.org/I154057602","display_name":"Henry Ford Health","ror":"https://ror.org/02kwnkm68","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I154057602"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"David R. Nerenz","raw_affiliation_strings":["Henry Ford Health System, Center for Health Policy and Health Services Research, Detroit, Michigan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Henry Ford Health System, Center for Health Policy and Health Services Research, Detroit, Michigan","institution_ids":["https://openalex.org/I154057602"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5014829089"],"corresponding_institution_ids":["https://openalex.org/I204465549"],"apc_list":null,"apc_paid":null,"fwci":13.0885,"has_fulltext":true,"cited_by_count":61,"citation_normalized_percentile":{"value":0.98648607,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":96,"max":100},"biblio":{"volume":"179","issue":"6","first_page":"769","last_page":"769"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9771000146865845,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9771000146865845,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.01600000075995922,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.0020000000949949026,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hospital-readmissions-reduction-program","display_name":"Hospital Readmissions Reduction Program","score":0.9929999709129333},{"id":"https://openalex.org/keywords/dual-enrollment","display_name":"dual enrollment","score":0.7919999957084656},{"id":"https://openalex.org/keywords/medicare-medicaid-dual-eligibles","display_name":"Medicare-Medicaid dual eligibles","score":0.8640000224113464},{"id":"https://openalex.org/keywords/hospital-penalties","display_name":"hospital penalties","score":0.7670000195503235},{"id":"https://openalex.org/keywords/hospital-readmission","display_name":"hospital readmission","score":0.6970000267028809},{"id":"https://openalex.org/keywords/peer-groups","display_name":"peer groups","score":0.5099999904632568},{"id":"https://openalex.org/keywords/teaching-hospitals","display_name":"teaching hospitals","score":0.8080000281333923},{"id":"https://openalex.org/keywords/hospital-size","display_name":"hospital size","score":0.550000011920929},{"id":"https://openalex.org/keywords/regional-variation","display_name":"regional variation","score":0.4560000002384186},{"id":"https://openalex.org/keywords/medicare-payment-policy","display_name":"Medicare payment policy","score":0.3790000081062317}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9022741317749023},{"id":"https://openalex.org/C2776534028","wikidata":"https://www.wikidata.org/wiki/Q1141363","display_name":"Medicaid","level":3,"score":0.8569763898849487},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.5909929275512695},{"id":"https://openalex.org/C143095724","wikidata":"https://www.wikidata.org/wiki/Q515895","display_name":"Odds","level":3,"score":0.5221412777900696},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.5052712559700012},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.4634667932987213},{"id":"https://openalex.org/C192943249","wikidata":"https://www.wikidata.org/wiki/Q1893382","display_name":"Stratification (seeds)","level":5,"score":0.46282750368118286},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.45115554332733154},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.2039167582988739},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.18748575448989868},{"id":"https://openalex.org/C3527866","wikidata":"https://www.wikidata.org/wiki/Q162267","display_name":"Dormancy","level":3,"score":0.0},{"id":"https://openalex.org/C100701293","wikidata":"https://www.wikidata.org/wiki/Q193838","display_name":"Germination","level":2,"score":0.0},{"id":"https://openalex.org/C88548481","wikidata":"https://www.wikidata.org/wiki/Q2397491","display_name":"Seed dormancy","level":4,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C59822182","wikidata":"https://www.wikidata.org/wiki/Q441","display_name":"Botany","level":1,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004469","descriptor_name":"Economics, Hospital","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006278","descriptor_name":"Medicare","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008484","descriptor_name":"Medicaid","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D010359","descriptor_name":"Patient Readmission","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017063","descriptor_name":"Outcome Assessment, Health Care","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D019984","descriptor_name":"Quality Indicators, Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D063026","descriptor_name":"Dual Medicare Medicaid Eligibility","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D064876","descriptor_name":"Safety-net Providers","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1001/jamainternmed.2019.0117","doi":"https://doi.org/10.1001/jamainternmed.2019.0117","is_oa":true,"landing_page_url":"https://doi.org/10.1001/jamainternmed.2019.0117","pdf_url":"https://jamanetwork.com/journals/jamainternalmedicine/articlepdf/2730354/jamainternal_joynt_maddox_2019_oi_190007.pdf","source":{"id":"https://openalex.org/S65364685","display_name":"JAMA Internal Medicine","issn_l":"2168-6106","issn":["2168-6106","2168-6114"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA Internal Medicine","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:6103379","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6547154","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:6547154","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6547154","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA Intern Med","raw_type":"Text"},{"id":"pmid:30985863","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/30985863","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA internal medicine","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1001/jamainternmed.2019.0117","doi":"https://doi.org/10.1001/jamainternmed.2019.0117","is_oa":true,"landing_page_url":"https://doi.org/10.1001/jamainternmed.2019.0117","pdf_url":"https://jamanetwork.com/journals/jamainternalmedicine/articlepdf/2730354/jamainternal_joynt_maddox_2019_oi_190007.pdf","source":{"id":"https://openalex.org/S65364685","display_name":"JAMA Internal Medicine","issn_l":"2168-6106","issn":["2168-6106","2168-6114"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA Internal Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.8560000061988831},{"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10","score":0.7578999996185303}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[{"id":"https://openalex.org/G3837006478","display_name":"Neighborhood Socioeconomic Disadvantage and Medicare's 30-Day Rehospitalization Policy: Eliminating Rehospitalization Disparities by Informing Policy Design and Implementation","funder_award_id":"R01MD010243","funder_id":"https://openalex.org/F4320337534","funder_display_name":"National Institute on Minority Health and Health Disparities"},{"id":"https://openalex.org/G7773233329","display_name":"Neighborhood Socioeconomic Contextual Disadvantage and Alzheimer's Disease","funder_award_id":"RF1AG057784","funder_id":"https://openalex.org/F4320337337","funder_display_name":"National Institute on Aging"}],"funders":[{"id":"https://openalex.org/F4320337337","display_name":"National Institute on Aging","ror":"https://ror.org/049v75w11"},{"id":"https://openalex.org/F4320337534","display_name":"National Institute on Minority Health and Health Disparities","ror":"https://ror.org/0493hgw16"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2939028443.pdf","grobid_xml":"https://content.openalex.org/works/W2939028443.grobid-xml"},"referenced_works_count":17,"referenced_works":["https://openalex.org/W1841706078","https://openalex.org/W1982768347","https://openalex.org/W2034961536","https://openalex.org/W2048707050","https://openalex.org/W2049315825","https://openalex.org/W2076102246","https://openalex.org/W2092861621","https://openalex.org/W2093655363","https://openalex.org/W2150408337","https://openalex.org/W2162726260","https://openalex.org/W2309139110","https://openalex.org/W2488662146","https://openalex.org/W2765528033","https://openalex.org/W2789241419","https://openalex.org/W2795565022","https://openalex.org/W2810551427","https://openalex.org/W2885813120"],"related_works":["https://openalex.org/W4220775819","https://openalex.org/W3116160397","https://openalex.org/W2940626778","https://openalex.org/W4220994880","https://openalex.org/W3104918003","https://openalex.org/W2137259690","https://openalex.org/W2974715115","https://openalex.org/W4220846714","https://openalex.org/W7125422222","https://openalex.org/W2611116175"],"abstract_inverted_index":{"Importance:":[0],"Beginning":[1],"in":[2,31,54,75,78,135,140,160,166,175,197,211,215,283,312,357,362,394],"fiscal":[3,79],"year":[4],"2019,":[5,83],"Medicare's":[6],"Hospital":[7],"Readmissions":[8],"Reduction":[9],"Program":[10],"(HRRP)":[11],"stratifies":[12],"hospitals":[13,73,196,230,243,261,282,311,361,384],"into":[14],"5":[15],"peer":[16],"groups":[17],"based":[18],"on":[19,88,94,120],"the":[20,76,106,111,125,132,161,167,171,198,216,284,313,319,334,365,383,386,402,417],"proportion":[21,152,336],"of":[22,37,70,153,181,187,201,207,219,225,255,337,382,404],"each":[23],"hospital's":[24],"patient":[25],"population":[26],"that":[27],"is":[28,41,419],"dually":[29,154],"enrolled":[30,155],"Medicare":[32],"and":[33,48,57,63,82,97,110,117,129,139,241,281,294,331,379],"Medicaid.":[34],"The":[35,103,144,150],"effect":[36],"this":[38,405],"policy":[39,418],"change":[40,138,406],"largely":[42],"unknown.":[43],"Objective:":[44],"To":[45],"identify":[46],"hospital":[47,89,95,172,413],"state":[49,98],"characteristics":[50,96],"associated":[51,389],"with":[52,92,316,333,339,364,390,407],"changes":[53,174],"HRRP-related":[55],"performance":[56,415],"penalties":[58,130,176,395],"after":[59,192],"stratification.":[60,193],"Design,":[61],"Setting,":[62],"Participants:":[64],"A":[65],"cross-sectional":[66],"analysis":[67],"was":[68,388],"performed":[69],"all":[71],"3049":[72,148],"participating":[74],"HRRP":[77,133,387],"years":[80],"2018":[81,107],"using":[84],"publicly":[85],"available":[86],"data":[87],"penalties,":[90,212,358],"merged":[91],"information":[93],"Medicaid":[99,367],"eligibility":[100,368],"cutoffs.":[101],"Exposures:":[102],"HRRP,":[104],"under":[105,131,385],"traditional":[108],"method":[109],"2019":[112],"stratification":[113],"method.":[114],"Main":[115],"Outcomes":[116],"Measures:":[118],"Performance":[119],"readmissions,":[121],"as":[122,359,410,412,416],"measured":[123],"by":[124],"excess":[126,397],"readmissions":[127],"ratio,":[128],"both":[134],"relative":[136],"percentage":[137],"absolute":[141],"dollars.":[142],"Results:":[143],"study":[145],"sample":[146],"included":[147],"hospitals.":[149],"mean":[151],"beneficiaries":[156,338],"ranged":[157,177],"from":[158,178,318],"9.5%":[159],"lowest":[162,199],"quintile":[163,200,218],"to":[164,184,273,307,353],"44.7%":[165],"highest":[168,217,335,366],"quintile.":[169],"At":[170],"level,":[173],"an":[179,205],"increase":[180,206],"$225":[182],"000":[183,191],"a":[185,223,257,275,355,391],"decrease":[186,224],"more":[188,351],"than":[189,278,310],"$436":[190],"In":[194],"total,":[195],"dual":[202,220],"enrollment":[203,221],"saw":[204,222],"$12":[208],"330":[209],"157":[210],"while":[213],"those":[214,332],"$22":[226],"445":[227],"644.":[228],"Teaching":[229],"(odds":[231],"ratio":[232],"[OR],":[233],"2.13;":[234],"95%":[235,246,264,288,298,325,343,372],"CI,":[236,247,265,289,299,326,344,373],"1.76-2.57;":[237],"P":[238,249,267,291,301,328,346,375],"<":[239,250,268,292,302,329,347,376],".001)":[240,251,269,293,303,330,348],"large":[242],"(OR,":[244,262,286,296,323,341,370],"1.51;":[245],"1.22-1.86;":[248],"had":[252],"higher":[253],"odds":[254],"receiving":[256],"reduced":[258],"penalty.":[259],"Not-for-profit":[260],"0.64;":[263],"0.52-0.80;":[266],"were":[270,304,349,360],"less":[271,305],"likely":[272,306,352],"have":[274],"penalty":[276],"reduction":[277,356],"for-profit":[279],"hospitals,":[280],"Midwest":[285],"0.44;":[287],"0.34-0.57;":[290],"South":[295],"0.42;":[297],"0.30-0.57;":[300],"do":[308],"so":[309],"Northeast.":[314],"Hospitals":[315],"patients":[317],"most":[320],"disadvantaged":[321],"neighborhoods":[322],"2.62;":[324],"2.03-3.38;":[327],"disabilities":[340],"3.12;":[342],"2.50-3.90;":[345],"markedly":[350],"see":[354],"states":[363],"cutoffs":[369],"1.79;":[371],"1.50-2.14;":[374],".001).":[377],"Conclusions":[378],"Relevance:":[380],"Stratification":[381],"significant":[392],"shift":[393],"for":[396],"readmissions.":[398],"Policymakers":[399],"should":[400],"monitor":[401],"association":[403],"readmission":[408],"rates":[409],"well":[411],"financial":[414],"fully":[420],"implemented.":[421]},"counts_by_year":[{"year":2026,"cited_by_count":6},{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":4},{"year":2023,"cited_by_count":6},{"year":2022,"cited_by_count":14},{"year":2021,"cited_by_count":6},{"year":2020,"cited_by_count":18},{"year":2019,"cited_by_count":4}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2019-04-25T00:00:00"}
