Providers understand that high hospital readmission rates spell trouble for patient outcomes. But excessive rates may also threaten a hospital’s financial health, especially in a value-based reimbursement environment.
Readmissions are already one of the costliest episodes to treat, with hospital costs reaching $41.3 billion for patients readmitted within 30 days of discharge, the Agency for Healthcare Research and Quality (AHRQ) reported.
The financial burden of hospital readmissions also recently increased as value-based reimbursement models replaced fee-for-service payments, especially for Medicare.
With hospital and federal dollars going to hospital readmissions, CMS created a value-based reimbursement program that penalizes hospitals for excessive readmission rates for six conditions, including chronic lung disease, heart attacks, and hip and knee replacements.
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