Reducing All-Cause, Unplanned Readmissions with Improved Risk Stratification

Posted by Jill Reeves, MHA on 2/2/15 3:39 PM

Some readmissions are unavoidable and result from the inevitable progression of diseases or chronic conditions; however, the Medicare Payment Advisory Commission (MedPAC) has estimated that nearly 76 percent of readmissions are potentially preventable, and may result from poor quality of care or inadequate transitional care.

Risk stratification

One of the programs that works to reduce unnecessary readmissions to improve care quality and reduce per capita costs is the Centers for Medicare & Medicaid Services’ (CMS) Readmission Reduction Program, which penalizes hospitals who are incurring an excessive amount of 30-day readmissions. 

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Topics: Medicare Readmission Penalties, Risk Stratification, Reducing Readmissions