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Strategies to Reduce Readmission Christy Rakoczy

November 7th, 2012 | 1

RevolvingDoorReadmission is a major problem in U.S. hospitals, so much so that Hospital Impact reports that one out of every five Medicare patients is readmitted to the hospital within 30 days of being discharged.  Hospital Impact reports that these readmissions come at a cost of approximately $17.5 billion each year.

While Fierce Healthcare reports that Medicare has a new policy- called a Readmissions Reduction Program – that docks up to 1 percent of pay for hospitals with high readmission rates, simply penalizing hospitals isn’t the answer. No hospital or rehabilitative care facility wants patients to be sent back into the hospital. The problem, as News Medical reports, is that hospitals are lacking in cohesive strategies to reduce readmission.  Developing a detailed discharge plan, therefore, is a key first step in helping patients to thrive once they’ve left the hospital. So, how can hospitals succeed at doing this? Here are a few tips.

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Care Services in a Skilled Nursing Facility Covered by Medicare and Medicaid Amy Barlow

November 5th, 2012 | 0

MedicalCostsAccording to researchers at Mount Sinai School of Medicine, health-care costs during the last 5 years of life exceed patient’s total assets for 25 percent of the Medicare population. This is because although Medicare provides a significant amount of health care coverage, it does not cover co-payments, deductibles, homecare services, or non-rehabilitative nursing home care.

This shows just how important it is to ensure that patients make full use of their Medicare and Medicaid covered services. The care coverage in Skilled Nursing Facilities (SNF’s) varies between Medicare, Medicaid and private insurance. The task of sorting through various websites and insurance paperwork to figure out your eligibility for these services can be a challenging task.

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This entry was posted in Readmissions and tagged , , ,

4 Discharge Tactics To Reduce Senior Readmissions Justin Usher

October 26th, 2012 | 0

ReAdmission_2This post originally appeared here: http://www.healthcarefinancenews.com/news/4-discharge-tactics-reduce-senior-readmissions and was published by Healthcare Finance News.

In light of the recent Readmissions Reduction Program under the Affordable Care Act, numerous hospitals and medical industry experts are examining new approaches that will decrease the rate of hospital readmissions.



“The Centers for Medicare and Medicaid Services estimates $15 billion is spent annually on readmissions for Medicare patients, with $12 billion of that amount being preventable,” said Jeff Huber, president and COO of Home Instead Senior Care, a provider of non-medical in-home care services for seniors. “This is an issue of significant concern to everyone in the healthcare field. There are a number of simple and cost efficient best practices that healthcare organizations can easily implement as they work to decrease the number of unnecessary senior readmissions.”



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This entry was posted in Readmissions and tagged , , ,

REMINDER: Medicare To Penalize 2,211 Hospitals For Excess Readmissions [STARTING TODAY 10/1/12] M.L. Sutton

October 1st, 2012 | 0

ReAdmissionPenaltiesThis post originally appeared here: http://www.kaiserhealthnews.org/Stories/2012/August/13/medicare-hospitals-readmissions-penalties.aspx and was published by Kaiser Health News.

More than 2,000 hospitals — including some nationally recognized ones — will be penalized by the government starting in October because many of their patients are readmitted soon after discharge, new records show.

Together, these hospitals will forfeit about $280 million in Medicare funds over the next year as the government begins a wide-ranging push to start paying health care providers based on the quality of care they provide.

With nearly one in five Medicare patients returning to the hospital within a month of discharge, the government considers readmissions a prime symptom of an overly expensive and uncoordinated health system. Hospitals have had little financial incentive to ensure patients get the care they need once they leave, and in fact they benefit financially when patients don’t recover and return for more treatment.

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Understanding Social Security & Medicare (Major Changes in 2012) Justin Usher

September 14th, 2012 | 0

Medicare&SS;Social Security marked its 76th anniversary on August 14, 2011. The Social Security program was established to provide the base of financial protection for working people and their families when earnings are lost due to retirement, disability, or death. In addition to the worker’s benefit, Social Security benefits may be paid to the spouses and children of workers. Benefits are an earned right, and they maintain their value with automatic annual cost-of-living increases.

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This entry was posted in Readmissions and tagged , , , , ,

How Nursing Homes Can Cut Hospital Readmissions OpenPlacement Admin

September 12th, 2012 | 0

ReAdmissionThis post originally appeared here: http://www.forbes.com/sites/howardgleckman/2012/09/12/how-nursing-homes-can-cut-hospital-readmissions/ and was published by Forbes.com.

Too many people make the dangerous roundtrip from hospital to nursing facility and back again. These transfers may increase risks of delirium, medication errors, falls, and infection. There is no doubt that some patients die as a result of these transfers. And, they cost payers—Medicare, Medicaid, and private insurance—hundreds of millions of dollars each year.

 

The real tragedy: By some estimates as many as 60 percent of these rehospitalizations are preventable.

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This entry was posted in Readmissions and tagged , ,

Guide to Medicare Plan Types Part A-B-C-D OpenPlacement Admin

September 11th, 2012 | 0

MedicareSymbolThis post originally appeared here: http://www.seniorcommunityguide.com/medicare/ and was published by the SeniorCommunityGuide.

Overview of Medicare Health Insurance

Medicare was created as part of the Social Security Act of 1965 that was signed by former President Lyndon B. Johnson. The first enrollees were former President Harry Truman and his wife Bess, who both received their Medicare cards at the bill singing ceremony held on July 30, 1965.

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