Risk-Adjusted

Lawmakers want pay that is risk-adjusted

Lawmakers want pay that is risk-adjusted

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

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.