Congressional Lawmakers

Adjust readmission penalties to protect providers serving dual eligibles, lawmakers urge CMS

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The calculation method for Medicare readmissions penalties should be risk-adjusted so that providers do not lose money for serving the sickest, poorest seniors, a bipartisan group of Congressional lawmakers said in a recent letter to regulators. Long-term care providers are carefully monitoring how hospital readmissions penalties are calculated, because nursing home reimbursements will be tied to readmissions starting in 2018.