Tag Archive: readmissions

The Medicaid Readmission Challenge

The Agency for Healthcare Research and Quality (AHRQ) last week released its Hospital Guide to Reducing Medicaid Readmissions publication that functions as a federal toolkit to assist hospital teams in designing and delivering transitional care to better serve the adult Medicaid population. Adult Medicaid recipients tend to be 65 and older, have multiple chronic diseases,...

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A Picture of COPD Readmitted Patients

Virginia’s hospitals admitted 54,477 patients for chronic obstructive lung disease (COPD) between the fourth quarter of 2013 and the third quarter of 2015. Of those patients, 8,265 (or 15 percent of COPD patients) people returned to the hospital within 30 days. Among COPD patients who return to the hospital, 90 percent return through the emergency...

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Risk Adjusted Readmission Rates Have Fallen in Virginia

To encourage efforts to reduce readmissions, Congress created within the Affordable Care Act (ACA) the Hospital Readmissions Reduction Program (HRRP), which instructs the U.S. Centers for Medicare & Medicaid Services (CMS) to penalize hospitals with higher-than-expected readmissions for specific clinical conditions such as heart attack, pneumonia, and heart failure. Nationally, hospitals are making significant progress....

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The Relationship Between Readmission and Age

The existence of CMS readmission penalties compels hospitals to better prepare Medicare patients for post-hospital care at home or in the community. However, focusing readmission prevention strategies only on those 65 and older is shortsighted. As illustrated in Table 1 below, 47% of patients who returned to the hospital more than one time are under...

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How Physician Hip and Knee Replacement Volumes Relate to Readmission Rates

Readmission penalties for hip and knee replacements are forecasted to account for more than 50 percent of the total penalties Virginia hospitals incur as part of the Centers for Medicare & Medicaid Services Hospital Readmissions Reduction Program (RRP) in 2016. That is a key reason why identifying options for reducing readmissions following total joint replacement...

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