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National Trends in Heart Failure Hospitalization and Readmissions Associated With Policy Changes—Reply
JAMA Cardiology  (IF14.676),  Pub Date : 2021-11-03, DOI: 10.1001/jamacardio.2021.4419
Manyoo A. Agarwal, Gregg C. Fonarow, Boback Ziaeian

In Reply We welcome the letter by Kuno et al demonstrating their interest in our recent article describing national trends in heart failure (HF) hospitalizations and readmissions from 2010 to 2017,1 and we appreciate the comments they raised. We found that crude rates of overall and unique hospitalizations for HF declined from 2010 to 2014, followed by an increase from 2014 to 2017. Additionally, readmission visits after index HF hospitalizations followed a similar trend. The correspondence highlights the importance of better defining the impact of health policies such as the Medicaid expansion and Hospital Readmissions Reduction Program (HRRP) on the national trends in HF hospitalizations during the period of study. The authors suggest performing state-specific comparative analysis subgrouped by Medicaid expansion to better test such a hypothesis.