How are hospitals supposed to reduce readmissions? Part II

By KIP SULLIVAN, JD The notion that hospitals can reduce readmissions, and that punishing them for “excess” readmissions will get them to do that, became conventional wisdom during the 2000s on the basis of very little evidence. The Medicare Payment Advisory Commission (MedPAC) urged Congress to enact the Hospital Readmissions Reduction Program (HRRP) beginning in 2007, and in 2010 Congress did so. State Medicaid programs and private insurers quickly adopted similar programs. The rapid adoption of readmission-penalty programs without evidence confirming they can work has created widespread concern that these programs are inducing hospitals to increase utilization of emergency rooms and observation units to reduce readmissions within 30 days of discharge (the measure adopted by the Centers for Medicare and Medicaid Services [CMS] in its final rule on the HRRP), and this in turn may be harming sicker patients. Determining whether hospitals are gaming the HRRP and other readmission-penalty schemes by diverting patients to ERs and observation units (and perhaps by other means) should be a high priority for policy-makers. [1] In Part I of this series I proposed to address the question of whether hospitals are gaming the HRRP by asking (a) does research exist describing methods by which hospitals can reduce readmissions under the HRRP and, in the event the answer is yes, (b) does that research demonstrate that those methods cost no more than hospitals save. If ...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: Health Policy CMS hospital readmissions Hospital Readmissions Reduction Program HRRP Kip Sullivan MedPAC Source Type: blogs

Related Links:

CONCLUSION: This online RFA registry has proved that ablation procedures in Greece have reached a very high standard, with results and complication rates comparable to European and American standards. Ablation procedures for atrial fibrillation are increasing constantly, with it being the most common intervention over the last 6-year period, although the absolute number of procedures still remains low, compared to other European countries. PMID: 32956809 [PubMed - as supplied by publisher]
Source: Hellenic Journal of Cardiology - Category: Cardiology Tags: Hellenic J Cardiol Source Type: research
Conditions:   Depression;   Anxiety;   Adolescent Behavior;   Suicidal Ideation Interventions:   Behavioral: IPR + GMI;   Behavioral: Usual Care/ IPR Only Sponsors:   University of Pittsburgh;   Kaiser Foundation Research Institute;   National Institute of Mental Health (NIMH) Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Post Traumatic Stress Disorder (PTSD);   Anxiety;   Depression;   Epidemic Disease;   COVID19 Intervention:   Other: Questionnaire Sponsor:   Assistance Publique - Hôpitaux de Paris Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Geriatric In-patients Intervention:   Device: Direct current stimulator Sponsors:   University of Alberta;   Glenrose Foundation;   Centre for Aging and Brain Health Innovation Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Stroke, Ischemic Interventions:   Other: Traditional physical therapy balance exercise;   Other: proprioception based balance training Sponsor:   Riphah International University Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Emphysema;   COPD;   Severe Emphysema Interventions:   Device: AeriSeal;   Device: Zephyr Valves Sponsor:   Pulmonx Corporation Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Stroke Intervention:   Other: Virtual Reality and Field Training (VRFT) Sponsors:   McGill University;   Jewish Rehabilitation Hospital;   Laval University;   Integrated University Health and Social Services Center of the Capitale-Nationale Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Depression, Anxiety Intervention:   Device: PRESTOapp Sponsor:   Hospital Clinic of Barcelona Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Patients With Non-valvular Atrial Fibrillation and Previous AF-related Embolic Events Intervention:   Diagnostic Test: Transthoracic Echocardiography Sponsor:   Lifetech Scientific (Shenzhen) Co., Ltd. Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Influenza, Human;   Pneumonia, Pneumococcal Interventions:   Biological: IIV4 and PPV23;   Biological: IIV4;   Biological: PPV23 Sponsors:   China National Biotec Group Company Limited;   Fujian Provincial Center for Disease Control and Prevention;   Chengdu Institute of Biological Products Co.,Ltd.;   Changchun Institute of Biological Products Co., Ltd.;   National Institutes for Food and Drug Control, China;   Guizho u Center for Disease Control ...
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
More News: Angioplasty | Aspirin | Atrial Fibrillation | Beta-Blockers | Blogging | Cardiology | Cardiovascular | Cardiovascular & Thoracic Surgery | Centers for Medicare and Medicaid Services (CMS) | Chronic Obstructive Pulmonary | Coronary Angioplasty | Coronary Artery Bypass Graft | Depression | Emergency Medicine | Health | Health Management | Heart | Heart Attack | Heart Failure | Hospitals | Insurance | Insurers | Medicaid | Medical Ethics | Medicare | Men | Nurses | Nursing | Patient Communication | Pneumonia | Politics | Statistics | Stroke | Study | Tax | University of Pennsylvania | Websites | Yale