The New Old Age: Hospitals Stopped Readmitting Medicare Patients So Often. Was That a Good Thing? [The New York Times]
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Source: The New York Times
Hospitals Stopped Readmitting Medicare Patients So Often. Was That a Good Thing? - The New York Times It was a well-intended policy. Almost all parties agree on that much. A decade ago, when Medicare beneficiaries were discharged from hospitals, one in five returned within a month. Older people faced the risks of hospitalization all over again: infections, deconditioning, delirium, subsequent nursing home stays. And preventable readmissions were costing Medicare a bundle. So the Affordable Care Act incorporated something called the Hospital Readmissions Reduction Program, which focused on three serious ailments with high readmission rates: heart failure, heart attacks and pneumonia. The A.C.A. penalized hospitals — withholding up to three percent of Medicare payments — when readmissions within 30 days exceeded national averages. The program, which took effect in 2012, seemed to work as intended. Within a few years, studies appeared in prestigious medical journals showing dramatic drop
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