Since it costs Medicaid too much, The Federal Government created one essential response activity against the hospital readmissions. The action was like a financial leverage to reduce readmissions-Under the Hospital Readmissions Reduction Program (HRRP) in the Affordable Care Act which was effected in October 2012, the CMS penalizes from hospitals up to 3% of reimbursement of a number of following readmitted conditions which excessed from the expected rate (CMS, 2012). The CMS reported that National hospital readmissions rate dropped to 17.5%, even though $227 million in penalties or 77% of safety net hospitals were penalized in 2013. Initially, acute myocardial infarction (AMI), heart failure and pneumonia were in the condition list in 2013.
