For skilled nursing facilities it's a struggle to stay ahead of the Medicare initiatives and market forces that are causing hospitals and health systems to narrow their post-acute care networks. With so many competing priorities — the alphabet soup of BPCI, ACOs, VBP, etc. — it can be hard to stay ahead of all the changes.
Dramatic drop in hospital inpatient readmissions cannot be explained by a shift to observation stays, researchers findApril 25, 2014
Hospitals achieved a notable reduction in their inpatient readmissions rate in 2012 and were not using observation stays to game the system, according to Centers for Medicare & Medicaid Services researchers. That means it is possible increases in the quality of care and care coordination are working in reducing readmissions.
The battle against Medicare waste, fraud and abuse heated up on Capitol Hill this week. Lawmakers introduced a bill to make Medicare claims and payments publicly available and asked for provider input on post-acute care reforms.
In about six weeks, more than 2,000 U.S. hospitals will be subject to financial penalties for preventable readmissions, making their relationships with post-acute providers more important than ever.
Post-acute care providers must be proactive and initiate conversations with hospitals and other community provider partners to ensure they are at the table when strategic partnerships are developed. They must come to these conversations armed with a more sophisticated understanding of their own readmission rates and a clear roadmap on how they plan to reduce them over time.
Healthcare reform efforts targeted at reducing hospital readmissions are here to stay, experts told participants in a McKnight's webcast Tuesday.