Preventing hospital readmissions must be top of mind for payers and providers, says Jill Duncan, RN, executive director at the Institute for Healthcare Improvement, where she leads the Joint Replacement Learning Community.
"Prevention of heart failure readmissions begins with effective in-hospital treatment and efficient care transitions," says Akshay S. Desai, MD in a presentation at the 2015 AHA Fall Conference meeting.
To address the burden of COPD on hospital expenditures, on October 1, 2014, the Centers for Medicare & Medicaid Services included COPD in its Hospital Readmissions Reductions Program. This inclusion resulted in reduced Medicare reimbursement for hospitals that demonstrate excessive 30-day COPD patient readmission rates.
A Geisinger Health Plan telemonitoring program for heart failure patients significantly reduced hospital readmissions, cut the cost of care for members, improved the efficiency of care managers and delivered a 3.3 return on investment, according to a new study.
Measurable goals and a timeline to move the Medicare program towards a value versus volume reimbursement model is being called a "transformative shift" that could redefine how care should be provided, measured and rewarded.