Fact Based List:
Heather Punke: 10 Things to Know About the Hospital Readmissions Reduction Program
Submitted by ASchreiber on Tue, 08/04/2015 - 16:12
- The Hospital Readmissions Reduction Program was created under the Affordable Care Act.
- This year's penalties are based on readmissions from July 2011 to June 2014 for Medicare patients for heart attack, heart failure, pneumonia, COPD, or hip/knee replacements.
- There are 18 fewer hospitals penalized this year than last year.
- The penalties will take effect from Oct. 1 through Sept. 30, 2016, and are projected to cost the hospitals a combined $420 million.
- To determine the level of penalty levied against each hospital, CMS uses a formula to determine what the appropriate number of unplanned 30-day readmissions would be for each hospital.
- The maximum penalty this year is a 3 percent reduction in Medicare payments, which 38 hospitals will receive this year compared to 39 hospitals last year.
- Four hospitals have received the maximum penalty each year under the program: Two in Kentucky, one in Louisiana and another in Tennessee
- A total of 506 hospitals will have Medicare reimbursements docked by 1 percent or more.
- Not all hospitals are subject to the program.
- The Readmissions Reduction Program is not without its fair share of controversy.
Source: Becker's Infection Control and Clinical Quality, August 4, 2015
Source URL: http://www.beckershospitalreview.com/quality/2-5k-hospitals-...
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