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Hospitals with High Dual-eligible Stays Fare Worse in CMS Star Ratings for Readmissions

Modern Healthcare writes: Hospitals with a high percentage of dual-eligible stays do worse than other hospitals in the readmissions category of the CMS star ratings, hurting their overall star rating, according to a Modern Healthcare analysis of CMS data.  In the latest preview of the CMS star ratings that will be released on Hospital Compare in February, the agency didn’t risk-adjust hospitals by peer groups based on their dual-eligible population as it currently does in the Hospital Readmissions Reduction Program. As a result, hospitals in peer groups four and five of that program—or those with the largest percentage of dual-eligible stays—fared worse on average than other hospitals in the readmissions category of the star ratings, an analysis of the data by consulting firm SullivanCotter and Modern Healthcare found.

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