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Admission-Readmission Revenue (ARR)

Overview

The HSCRC’s Admission-Readmission Revenue (ARR) arrangement is a voluntary revenue constraint program developed by the HSCRC, which provides hospitals with a financial incentive to more effectively coordinate care and reduce unnecessary readmissions to their facilities. ARR arrangements apply to regulated hospital inpatient services and charges only. The methodology results in the establishment of an Admission-Readmission Revenue constraint, which builds upon each Hospital’s HSCRC approved inpatient unit rates. The ARR agreement imposes a case mix adjusted standard bundled Admission-Readmission Charge Per Episode (ARR-CPE) target for each ARR hospital, which applies to inpatient admissions and subsequent readmissions.

Communications and Memos

ARR Memo - Base Episodes Sent to Hospitals - 2012-01-31

ARR Memo - Episode Weights Posted - 2012-01-18

ARR Webinar - Implementation Plans Presentation Slides - 2011-11-17

Memo - Intervention Plans - 2011-11-10PDF File   → and →   ARR Intervention Plan and Metrics Template Word document

Memo - Implementation Steps - 2011-11-02

ARR Template - Final Recommendation - 2011-01-12

HSCRC staff has developed a consolidated email address for issues related to ARR implementation. If you have any questions about ARR or would like to be added to our email distribution list, please email HSCRC staff at arr@hscrc.state.md.us

ARR Hospital List - FY 2012

Mercy LifeBridge - Sinai LifeBridge - Northwest UMMS - Baltimore Washington Medical Center
UMMS - Civista Medical Center UMMS - Harford Memorial Hospital UMMS - Kernan Hospital UMMS - Maryland General Hospital
UMMS - Upper Chesapeake Medical Center UMMS - University of Maryland Medical Center JHHS - Johns Hopkins Hospital JHHS - Johns Hopkins Bayview Medical Center
JHHS - Howard County General Hospital JHHS - Suburban Hospital Anne Arundel Medical Center Bon Secours
St. Joseph Medical Center MedStar - Franklin Square MedStar - Good Samaritan MedStar - Harbor Hospital
MedStar - St. Mary's Hospital MedStar - Montgomery General Hospital MedStar - Union Memorial Hospital Holy Cross Hospital
Washington Adventist Hospital Shady Grove Adventist Hospital Peninsula Regional Doctors
GBMC Frederick Regional Health System Saint Agnes

Other ARR Information and Documents

ARR Hospital Intervention Plans and Metrics

Sample ARR Agreement

MD Hospital Inpatient Case Mix Weights Rate Year 2012 - ARR Episode of Care

* Operational Policy Guidelines - to be posted