In this issue of JAMA Cardiology, Pandey and colleagues1 add to the understanding of perceived racial disparities in care and the role of the US Centers for Medicare and Medicaid Services Hospital Readmissions Reduction Program (HRRP) in modulating racial disparities. They examine temporal trends in readmission rates for 753 hospitals participating in the National Cardiovascular Registry chest pain–myocardial infarction registry. They confirm the findings of others2,3 that risk-adjusted 30-day readmission rates after discharge for acute myocardial infarction have decreased. Readmission rates were higher among black patients, irrespective of whether hospitals were high performing (defined as not being penalized during the first penalty assessment period) or low performing (defined as being penalized during the first penalty assessment period).
Radford MJ. Racial Disparities in Readmission Rates Following Acute Myocardial Infarction in the Hospital Readmissions Reduction Program Era. JAMA Cardiol. Published online January 08, 2020. doi:10.1001/jamacardio.2019.5120
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