By using this site, you agree to the Privacy Policy and Terms of Use.
Accept
Health Works CollectiveHealth Works CollectiveHealth Works Collective
  • Health
    • Mental Health
    Health
    Healthcare organizations are operating on slimmer profit margins than ever. One report in August showed that they are even lower than the beginning of the…
    Show More
    Top News
    medicare part d benefits
    Everything that You Need to Know About Medicare Part D
    August 15, 2022
    Best Ways to Boost Your Immune System this Winter
    Best Ways to Boost Your Immune System this Winter
    November 15, 2022
    back pain issues
    Ways to Treat Constant Back Pain
    August 21, 2023
    Latest News
    How Probate Planning Shapes the Future of Your Estate and Family Care
    July 17, 2025
    Beyond Nutrition: Everyday Foods That Support Whole-Body Health
    June 15, 2025
    The Wide-Ranging Benefits of Magnesium Supplements
    June 11, 2025
    The Best Home Remedies for Migraines
    June 5, 2025
  • Policy and Law
    • Global Healthcare
    • Medical Ethics
    Policy and Law
    Get the latest updates about Insurance policies and Laws in the Healthcare industry for different geographical locations.
    Show More
    Top News
    More On Wellness Programs To Improve Health and Reduce Costs
    January 25, 2012
    Privatizing Social Security and Medicare: Who Can Defuse Political Dynamite?
    June 12, 2011
    Study: Risk of Death in Elderly Patients with Dementia Doubled with Some Antipsychotic Medications
    February 26, 2012
    Latest News
    How IT and Marketing Teams Can Collaborate to Protect Patient Trust
    July 17, 2025
    How Health Choices and Legal Actions Intersect After an Injury
    July 17, 2025
    How communities and healthcare providers can address slip and fall injuries with legal awareness
    July 17, 2025
    Let Your Lawyer Handle the Work Before You Pay Medical Costs
    July 6, 2025
  • Medical Innovations
  • News
  • Wellness
  • Tech
Search
© 2023 HealthWorks Collective. All Rights Reserved.
Reading: Some Hospitals Affected by Federal Miscalculations on Medicare Readmissions
Share
Notification Show More
Font ResizerAa
Health Works CollectiveHealth Works Collective
Font ResizerAa
Search
Follow US
  • About
  • Contact
  • Privacy
© 2023 HealthWorks Collective. All Rights Reserved.
Health Works Collective > Policy & Law > Some Hospitals Affected by Federal Miscalculations on Medicare Readmissions
Policy & Law

Some Hospitals Affected by Federal Miscalculations on Medicare Readmissions

MichaelDouglas1
MichaelDouglas1
Share
3 Min Read
SHARE

 

CMS is taking a fresh look at participating hospitals’ readmission rates. Back in ’10, the Hospital Readmission Reduction Program was created as part of the ACA to decrease the overwhelming number of readmissions within 30 days’ time for certain key diagnoses. Originally, certain hospitals were reimbursed at higher rates based upon initial data. However, recently, CMS noticed errors in calculating payment pentalties to hospitals with higher rates.

 

CMS is taking a fresh look at participating hospitals’ readmission rates. Back in ’10, the Hospital Readmission Reduction Program was created as part of the ACA to decrease the overwhelming number of readmissions within 30 days’ time for certain key diagnoses. Originally, certain hospitals were reimbursed at higher rates based upon initial data. However, recently, CMS noticed errors in calculating payment pentalties to hospitals with higher rates.

More Read

Developing a Sound Relapse Prevention Plan After Discharge
Still Missing: Price Transparency in Healthcare
National Preparedness for Catastrophic Events
The Downside of Japanese Health Care
Nurses and Unions

Because of this error (which involved including claims data from earlier than planned), a handful of acute hospitals will lose more money than was originally calculated. Naturally, the affected facilities are a more than a little concerned about it. The initiative to cut down on costs associated with frequent readmits is a mixed blessing for hospitals under the ACA. On one hand, they are supposed to be rewarded for doing the right thing by arbitrary federal standards. That financial benefit, however, is questioned by many lawmakers and hospital administrators as being unduly regulatory. Basing those concerns on data that show little benefit in clinical patient outcomes (as opposed to costs of care), some administrators claim the possibility of losing out with more empty beds and operating burden.

Everyone should agree that the government needs to become more streamlined with respect to healthcare spending in this arena. Hospitals do not have be scapegoated in the drive toward reform. Other than mandating increased adherence to treatment protocols and cursory attempts better discharge planning, perhaps hospitals should be forming partnership networks, as this piece discusses, in an effort to apply appropriate care at the appropriate times. Waiting until the patient is discharged — as long as he or she is not readmitted within 30 days — to be rewarded for care delivery, while effectively ceding responsibility until the next admission (hopefully after 30 days) — is not the manner in which to approach this problem.

Related posts:

  1. Medicare Data Compare Acute Hospitals’ Readmission Rates Readmissions keep hospitals’ bottom lines in the black. It’s a…
  2. Critics Cry Foul at Unintended Shifts in Medicare Reimbursements to Hospitals The Agency for Healthcare Research & Quality figures in the…
  3. Some Maryland Hospitals Innovate with Their Own Brand of Care Coordination in Controlling Costs Medical necessity is a term that physicians once could claim…
TAGGED:hospital readmissions
Share This Article
Facebook Copy Link Print
Share

Stay Connected

1.5kFollowersLike
4.5kFollowersFollow
2.8kFollowersPin
136kSubscribersSubscribe

Latest News

Grounded Healing: A Natural Ally for Sustainable Healthcare Systems
How IT and Marketing Teams Can Collaborate to Protect Patient Trust
Global Healthcare Policy & Law
July 17, 2025
paramedics in surgical gloves and masks
How Health Choices and Legal Actions Intersect After an Injury
Health care
July 16, 2025
a woman giving a key
How Probate Planning Shapes the Future of Your Estate and Family Care
Health
July 16, 2025
a woman with kinesio tapes on her back arm
How communities and healthcare providers can address slip and fall injuries with legal awareness
Health care
July 16, 2025

You Might also Like

Health Insurers’ Rate Increases Being More Scrutinized

May 22, 2011
medical loss ratio
BusinessHealth ReformHospital AdministrationPolicy & Law

Medical Loss Ratio Reform: Barking Up the Wrong Tree

April 6, 2013
GOP health plan replacement
BusinessHealth ReformPolicy & Law

The GOP Replacement Plan: Common-Sense Consumer Protections?

February 24, 2015

Rating Doctors May Be Hazardous to Your Health

January 3, 2013
Subscribe
Subscribe to our newsletter to get our newest articles instantly!
Follow US
© 2008-2025 HealthWorks Collective. All Rights Reserved.
  • About
  • Contact
  • Privacy
Welcome Back!

Sign in to your account

Username or Email Address
Password

Lost your password?