Hospital Readmissions Reduction Program
E500470
The Hospital Readmissions Reduction Program is a U.S. Medicare value-based purchasing initiative that financially penalizes hospitals with excess patient readmissions in order to improve care quality and reduce avoidable hospitalizations.
All labels observed (1)
| Label | Occurrences |
|---|---|
| Hospital Readmissions Reduction Program canonical | 2 |
How this entity was disambiguated
This entity first appeared as the object of triple T5166982 — resolving that mention is where its identity was fixed. The disambiguator weighed these candidate entities and picked the highlighted one (or “None”, minting a new entity). This is how homonymy is resolved: the same surface form can point to different entities.
NED1
Entity disambiguation (via context triple)
gpt-5-mini-2025-08-07
Target entity: Hospital Readmissions Reduction Program Context triple: [Center for Clinical Standards and Quality, overseesProgram, Hospital Readmissions Reduction Program]
-
A.
Hospital-Acquired Condition Reduction Program
The Hospital-Acquired Condition Reduction Program is a U.S. Medicare quality initiative that financially penalizes hospitals with high rates of preventable patient harms, such as infections and complications, to incentivize improved patient safety.
-
B.
Inpatient Quality Reporting Program
The Inpatient Quality Reporting Program is a U.S. hospital reporting initiative that tracks and publicly reports performance on standardized quality measures to improve inpatient care and inform consumers.
-
C.
Center for Program Integrity
The Center for Program Integrity is a division within the Centers for Medicare & Medicaid Services responsible for preventing fraud, waste, and abuse in federal health care programs and ensuring proper payment and program compliance.
-
D.
Center for Medicare and Medicaid Innovation
The Center for Medicare and Medicaid Innovation is a federal agency within CMS that tests and implements new payment and service delivery models to improve quality and reduce costs in Medicare, Medicaid, and CHIP.
-
E.
Outpatient Quality Reporting Program
The Outpatient Quality Reporting Program is a U.S. Medicare initiative that collects and publicly reports performance data from hospital outpatient departments to promote transparency, improve care quality, and inform patient choice.
- F. None of above. chosen
- G. Unsure - the case is ambiguous/there is not enough information to decide.
NED2
Entity disambiguation (via description)
gpt-5-mini-2025-08-07
Target entity: Hospital Readmissions Reduction Program Target entity description: The Hospital Readmissions Reduction Program is a U.S. Medicare value-based purchasing initiative that financially penalizes hospitals with excess patient readmissions in order to improve care quality and reduce avoidable hospitalizations.
-
A.
Hospital-Acquired Condition Reduction Program
The Hospital-Acquired Condition Reduction Program is a U.S. Medicare quality initiative that financially penalizes hospitals with high rates of preventable patient harms, such as infections and complications, to incentivize improved patient safety.
-
B.
Inpatient Quality Reporting Program
The Inpatient Quality Reporting Program is a U.S. hospital reporting initiative that tracks and publicly reports performance on standardized quality measures to improve inpatient care and inform consumers.
-
C.
Center for Program Integrity
The Center for Program Integrity is a division within the Centers for Medicare & Medicaid Services responsible for preventing fraud, waste, and abuse in federal health care programs and ensuring proper payment and program compliance.
-
D.
Center for Medicare and Medicaid Innovation
The Center for Medicare and Medicaid Innovation is a federal agency within CMS that tests and implements new payment and service delivery models to improve quality and reduce costs in Medicare, Medicaid, and CHIP.
-
E.
Outpatient Quality Reporting Program
The Outpatient Quality Reporting Program is a U.S. Medicare initiative that collects and publicly reports performance data from hospital outpatient departments to promote transparency, improve care quality, and inform patient choice.
- F. None of above. chosen
Statements (50)
| Predicate | Object |
|---|---|
| instanceOf |
Medicare value-based purchasing program
ⓘ
U.S. federal health care program ⓘ |
| adjustsFor |
comorbidities
ⓘ
patient clinical risk factors ⓘ patient demographics ⓘ |
| administeredBy |
Centers for Medicare & Medicaid Services
ⓘ
U.S. Department of Health and Human Services ⓘ |
| appliesTo |
Medicare fee-for-service beneficiaries
ⓘ
acute care hospitals ⓘ |
| beneficiaryPopulation |
older adults
ⓘ
people with disabilities covered by Medicare ⓘ |
| country |
United States
ⓘ
linked to:
United States of America
|
| dataSource | Medicare claims data ⓘ |
| doesNotAdjustFor | socioeconomic status in original design ⓘ |
| excludes |
cancer hospitals
ⓘ
children's hospitals ⓘ critical access hospitals ⓘ long-term care hospitals ⓘ psychiatric hospitals ⓘ rehabilitation hospitals ⓘ |
| financialMechanism | Medicare payment reduction ⓘ |
| implementedInFiscalYear | FY2013 ⓘ |
| laterIncorporated | peer grouping by proportion of dual-eligible patients ⓘ |
| legalBasis |
Patient Protection and Affordable Care Act
ⓘ
linked to:
Affordable Care Act
Section 3025 of the Affordable Care Act ⓘ |
| payer | Medicare ⓘ |
| penalizes | hospitals with excess readmissions ⓘ |
| penaltyCap | 3 percent of base operating DRG payments ⓘ |
| policyType |
pay-for-performance
ⓘ
penalty-based incentive program ⓘ |
| purpose |
improve quality of hospital care
ⓘ
reduce Medicare spending on preventable readmissions ⓘ reduce avoidable hospitalizations ⓘ reduce excess hospital readmissions ⓘ |
| relatedTo |
Hospital Value-Based Purchasing Program
ⓘ
Hospital-Acquired Condition Reduction Program ⓘ |
| scope | Inpatient Prospective Payment System hospitals ⓘ |
| sector | health care quality improvement ⓘ |
| startDate | 2012-10-01 ⓘ |
| targetsCondition |
acute myocardial infarction
ⓘ
chronic obstructive pulmonary disease ⓘ coronary artery bypass graft surgery ⓘ elective primary total hip arthroplasty ⓘ elective primary total knee arthroplasty ⓘ heart failure ⓘ pneumonia ⓘ |
| usesMetric |
30-day hospital readmission rate
ⓘ
excess readmission ratio ⓘ hospital-wide readmission measure ⓘ risk-standardized readmission rate ⓘ |
How these facts were elicited
The pipeline generated the facts above by prompting gpt-5.1 with this entity's name + description and the instruction below.
Instruction
You are a knowledge base construction expert. Given a subject entity and a description of it, return factual statements that you know for the subject as a JSON list of dictionaries(triples), where keys must be "subject", "predicate" and "object". The number of facts may be very high, between 25 to 50 or more, for very popular subjects. For less popular subjects, the number of facts can be very low, like 5 or 10. # Requirements - If you don't know the subject at all, return an empty list. - If the subject is not a named entity, return an empty list. - Include at least one triple where predicate is "instanceOf". - Do not get too wordy. - Separate several objects into multiple triples with one object.
Input
Subject: Hospital Readmissions Reduction Program Description of subject: The Hospital Readmissions Reduction Program is a U.S. Medicare value-based purchasing initiative that financially penalizes hospitals with excess patient readmissions in order to improve care quality and reduce avoidable hospitalizations.
Referenced by (2)
Full triples — surface form annotated when it differs from this entity's canonical label.
Center for Clinical Standards and Quality
→
overseesProgram
→
Hospital Readmissions Reduction Program
ⓘ
Hospital-Acquired Condition Reduction Program
→
relatedTo
→
Hospital Readmissions Reduction Program
ⓘ