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Even though consumers don’t expect to pay for faulty service or goods, they are often forced to pay for bad health care. But a small number of hospitals and doctors are seeking to change that practice.
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Federal records show that 2,573 hospitals around the country will have their Medicare payments reduced because they have too many patients readmitted.
This new column explains what older adults and their families can do to avoid hospital readmission.
Medicare will withhold an estimated $528 million in 2017 from more than 2,500 hospitals that have too many patients returning within 30 days.
In more than three-quarters of the cases that researchers said might have been preventable, factors at the hospital contributed to the child’s return, according to the researchers.
The Missouri Hospital Association objects to the formula for setting the federal penalties because it does not factor in the number of patients who are poor or in bad health. It is seeking to generate consumer interest in the penalties.
The fines, in their fourth year, are assessed on hospitals that have patients frequently return and will cost nearly 2,600 hospitals $420 million in total.
The Cleveland Clinic, serving mostly insured patients, sees its Medicare fines go down, while fines go up at the city’s hospitals in low-income neighborhoods. The National Quality Forum is beginning a trial to adjust the program for hospitals that serve more poor people.
Results so far show community agencies haven’t made a big difference in keeping seniors from making return hospital trips. But administration officials say the program has plenty of potential.
Medicare evaluated the readmission rates of the nation’s hospitals in determining the third year of penalties in the Hospital Readmissions Reduction Program. This table lists the average impact on hospitals in each state.
The methodology behind KHN’s analysis of the third year of the Medicare penalty program.
Medicare’s new comprehensive measure of hospital readmissions shows that at least 20 percent of the hospitals in Illinois, Maryland, Massachusetts, New Jersey, New York and Rhode Island have higher rates of patients returning than the national average. Colorado, Hawaii, Idaho, North Carolina, Oregon, South Carolina, Utah and Washington led the states with the highest proportion […]
Medicare has evaluated how often patients undergoing hip and knee surgery were readmitted or suffered a serious complication. These hospitals did much better or worse than average.
A study finds that a third of adult patients discharged from a hospital don’t see a physician within 30 days — and experts say this is a key reason so many of them need to come back in.
Letters to the Editor is a periodic KHN feature that details readers responses to recent KHN stories.
Penalties will total $227 million, but many hospitals will see their fines go down in October in the second year of the program.
This chart lists state averages of readmission rates and the number of hospitals in each state that will be penalized.
Kaiser Health News’ data on hospital readmissions penalties comes from the Centers for Medicare & Medicaid Services.
This story comes from our partner The federal government began fining hospitals based on how many Medicare patients were readmitted within 30 days of discharge in October. They track three specific conditions: heart failure, congestive heart failure and pneumonia. The goal is to improve the quality of care for seniors by preventing return trips to […]