In this longitudinal study of 2837 US hospitals between 2008 and 2015, we found that participation in 1 or more Medicare value-based reforms – including the Meaningful Use of Electronic Health Records program, the Accountable Care Organization programs, and the Bundled Payment for Care Initiative – was associated with greater reductions in 30-day risk-standardized readmission rates under the Hospital Readmission Reduction Program.

Hospital participation in voluntary value-based reforms was associated with greater reductions in readmissions. Our findings lend support for Medicare's multipronged strategy to improve hospital quality and value.

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