Financial impact of ivabradine on reducing heart failure penalties under the Hospital Readmission Reduction Program

Kansal, A. R. et al. (2017) Financial impact of ivabradine on reducing heart failure penalties under the Hospital Readmission Reduction Program. Current Medical Research and Opinion, 33(2), pp. 185-191. (doi: 10.1080/03007995.2016.1248381) (PMID:27733074)

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Objective: The introduction of the Hospital Readmission Reduction Program (HRRP) has led to renewed interest in developing strategies to reduce 30 day readmissions among patients with heart failure (HF). In this study, a model was developed to investigate whether the addition of ivabradine to a standard-of-care (SoC) treatment regimen for patients with HF would reduce HRRP penalties incurred by a hypothetical hospital with excess 30 day readmissions. Research design: A model using a Monte Carlo simulation framework was developed. Model inputs included national hospital characteristics, hospital-specific characteristics, and the ivabradine treatment effect as quantified by a post hoc analysis of the Systolic Heart failure treatment with the If inhibitor ivabradine Trial (SHIFT). Results: The model computed an 83% reduction in HF readmission penalty payments in a hypothetical hospital with a readmission rate of 22.95% (excess readmission ratio = 1.056 over the national average readmission rate of 21.73%), translating into net savings of $44,016. A sensitivity analysis indicated that the readmission penalty is affected by the specific characteristics of the hospital, including the readmission rate, size of the ivabradine-eligible population, and ivabradine utilization. Conclusions: The results of this study indicate that the addition of ivabradine to an SoC treatment regimen for patients with HF may lead to a reduction in the penalties incurred by hospitals under the HRRP. This highlights the role ivabradine can play as part of a wider effort to optimize the care of patients with HF.

Item Type:Articles
Glasgow Author(s) Enlighten ID:Ford, Professor Ian
Authors: Kansal, A. R., Krotneva, S., Tafazzoli, A., Patel, H. K., Borer, J. S., Böhm, M., Komajda, M., Maya, J., Tavazzi, L., Ford, I., and Kielhorn, A.
College/School:College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Robertson Centre
Journal Name:Current Medical Research and Opinion
Publisher:Taylor & Francis
ISSN (Online):1473-4877
Published Online:13 October 2016
Copyright Holders:Copyright © 2016 Informa UK Limited, trading as Taylor and Francis Group
First Published:First published in Current Medical Research and Opinion 33(2): 185-191
Publisher Policy:Reproduced in accordance with the publisher copyright policy

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