Impact of Medicare's Nonpayment Program on Hospital-Acquired Conditions

Thirukumaran CP, et al. | Medical Care | 2017

A patient smiles into the camera while a caregiver transports them down a hospital hallway in a wheelchair.



Medicare's Nonpayment Program of 2008 (hereafter called Program) withholds hospital reimbursement for costs related to hospital-acquired conditions (HACs). Little is known whether a hospital's Medicare patient load [quantified by the hospital's Medicare utilization ratio (MUR), which is the proportion of inpatient days financed by Medicare] influences its response to the Program.


To determine whether the Program was associated with changes in HAC incidence, and whether this association varies across hospitals with differential Medicare patient load.


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Care Settings: Acute Care

Clinical Focus: Fall Prevention

Content Type: Journal Articles