Update : Centers for Medicare and Medicaid Services (CMS) issued a revised list of hospitals sanctions for 2013 days before the readmissions reduction program began October 1. in the notice, he cited a calculation error as the cause of the error. The organization inadvertently included inpatient Medicare claims with discharge dates occurring before 1 July 08, when it calculated the adjustment factors readmissions. The data is supposed to be limited to the period from 1 July 08 to 30 June 2011. Following the correction, penalties for 55 hospitals have been reduced and penalties for 1,422 hospitals increased slightly to 2013.
Monday, hospitals across the United States facing the launch of an initiative that will impose financial penalties for Medicare readmission rates that exceed the national averages. The hospital readmissions of the reduction program designed to require hospitals to improve the quality of care beyond the acute events, imposes penalties ranging from 0.01 to 1 percent of payments of DRG base operating.
Mercy Hospital and Medical Center in Chicago was among 278 hospitals hit with the maximum penalty .01 percent for 2013 for Mercy, with its annual turnover of $ 260 million, the penalty equals about $ 400,000
about 278 hospitals penalized maximum level :.
- 85 are independent installations nonprofit
- 88 are among the non-health systems for profit
- 56 are for-profit
- are 49 government-owned facilities
improvement will not necessarily guarantee the safety of future penalties. It depends largely on how each hospital program is structured as payment cuts are assessed using national readmission averages for each condition. Therefore, sanctions thresholds are subject to constant change.
Opponents of the initiative argue that sanctions could be the last straw for hospitals that are already in financial trouble, many of them independent hospitals who treat patients vulnerable populations. Others argue that hospitals should not be responsible for decisions taken by patients after their release -. For example, make a follow-up visit to their primary care physician
The supporters of the initiative are adamant that the establishment and maintenance of a patient -centered focus on the transition of care from a inpatient to outpatient setting can reduce readmission rates for long-term patients.
Healthcare.gov more information on hospital readmission reduction program. Do you think that the program will achieve success in reducing readmission rates, or penalties ultimately harm our health care system?
0 Komentar