A report from the Robert Wood Johnson Foundation puts early readmissions in the spotlight: “The US healthcare system suffers from a chronic malady—the revolving door syndrome at its hospitals.”

HOSPITAL READMSSION PROGRAM

CMS launches HRRP to incentivize lower hospital readmissions. Hospitals with readmissions exceeding the expected rate will be penalized financially.

GROWING PENALTIES

2,000 HOSPITALS PAY PENALTIES

CMS ADDS MORE CATEGORIES

2008A Snapshot of Troubling Trends in Readmissions

CMS BEGAN MEASURING READMISSIONS

2010

2012

ROBERT JOHNSON FOUNDATION REPORT

20132015

2017

Measurement started with congestive

heart failure, pneumonia and acute

myocardial infarction. Performance is

measured in three-year increments

and then reported.

CMS adds new readmissions for

COPD, heart attack, and hip/knee

replacements, diagnosis groups

which contribute substantially to

overall hospital readmissions.

2,000 hospitals penalized for excess readmissions in first year of HRRP. The penalty reduces Medicare reimbursement for all patients discharged in the affected year.

Poor hospital performance and the addition of new penalty groups leads to more than 2,600 hospitals facing a penalty for excess readmissions. Hospital reimbursement is reduced by $428 million, up from $227m in 2014.

CMS Announces Bundled Payment

CMS ADDS MORE CATEGORIES

CMS to penalize hospitals for excess

coronary artery bypass graft (CABG)

readmissions, which is expected to

increase size of penalties even more.

Visit www.q-centrix.com/readmission-reduction forreadmission reduction resources and best practices.

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Though % of hospitals penalized continues

to increase, Q-Centrix survey reveals that

hospital executives are confident in their

ability to reduce readmissions.