Beginning in 2012, the Hospital Readmissions Reduction Program (HRRP) put provider organizations on the hook for 30-day congestive heart failure (CHF) readmissions penalties, launching nationwide efforts to smooth transitions of care. But from before HRRP implementation to today, we've only reduced 30-day heart failure readmissions by less than two percentage points (20.0% to 18.4%). CHF management has turned out to be a lot easier said than done.