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.

作为回复，我们欢迎 Kuno 等人的来信，表明他们对我们最近描述 2010 年至 2017 年心力衰竭 (HF) 住院和再入院趋势的文章感兴趣，¹我们感谢他们提出的意见。我们发现 2010 年至 2014 年心力衰竭总体住院率和独特住院率有所下降，随后从 2014 年至 2017 年有所增加。此外，心力衰竭指数住院后的再入院率也遵循类似的趋势。信件强调了在研究期间更好地定义医疗补助计划和减少医院再入院计划 (HRRP) 等卫生政策对国家心衰住院趋势的影响的重要性。作者建议进行按 Medicaid 扩展分组的特定州比较分析，以更好地检验这种假设。