Saturday, December 14, 2013

CMS Calculates 18 Percent Hospital Readmission Rate 2013

Home Care Path and the Wisconsin PATH ALONG model were pleased with the recent hospital readmission rate data reported by The Centers for Medicare and Medicaid (CMS).  CMS Data Analytics reviewed 30 day all condition Medicare readmission rates.  Focusing on January 2012 to August 2013 preliminary figures indicate the Medicare readmission rate averaged less than 18 percent.

This is significant when compared to readmission data from 2007 to 2011 which reported a 19 percent Medicare hospital readmission rate.  This one percent drop is estimated to mean 130, 000.00 fewer hospital readmissions the Medicare fund needed to reimburse.

The national effort to manage hospital readmission rates is called (CMS) The Centers for Medicare and Medicaid value based purchasing.  This calls on Medicare certified providers to deliver the assessed need within the appropriate level of care setting.

This means the Medicare and Medicaid fund will only reimburse a certified provider group at the amount pre -defined according to where the treatment can safely occur.  So, if your scheduled procedure has been proven to be safely done in an outpatient setting, the Health Care Center will not be reimbursed at the inpatient hospital level.

This in part is why you are seeing the construction occurring near the community hospitals.  This is adding the outpatient specialty delivery areas.  With these medical services the patient comes early has the procedure and goes home the same day.   The Medicare cost is much less for a procedure that does not include a stay in the hospital.

Home Care Path and the Wisconsin PATH ALONG model coordinate staff who can be an extra set of arms and legs at home to help with the recovery process.  Often the assistance is temporary until the discharged outpatient can get by on their own. 

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 Home Care Path  www.homecarepath.com and the Wisconsin PATH ALONG model deliver an advanced supportive care service.  Helping seniors in the home, with clinic visits, at the hospital, nursing home and assisted living facility.  Helping seniors downsize with a move in to an adult child's home. 2013 rates are 20.00 per hour.  Simply call 608-432-4286 to schedule an interview.  We can be there when you are working.  We accept long term care insurance.  Services can be tax deductible.  Help with resources and the transition from private payment to public funded programming.  Valuing home and human life
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