Safety-net hospitals are 30 percent more likely than other hospitals to have 30-day readmission rates that are above the national average, a new Commonwealth Fund analysis finds, and as a result will be disproportionately impacted by new federal penalties. Policy options to help safety-nets, which include many public and teaching hospitals, reduce their readmission rates include: targeting quality improvement initiatives; ensuring that broader delivery system improvements include safety-net hospitals and care delivery systems; and enhancing bundled payment rates to account for socioeconomic risk factors.