AHA Rejects Proposed Readmission Penalties
Federal officials "ignored Congress's intent" when it wrote its proposed rules governing how hospitals will be penalized up to 1% for higher readmission rates, said American Hospital Association executive vice president Rick Pollack.
That's in part because the May 11 document by the Centers for Medicare & Medicaid Services does not exclude all planned and unrelated readmissions from being counted against the 3,393 hospitals affected by the penalty rule, which will take effect Oct. 1, the AHA says.
HealthLeaders Media Breakthroughs
The Promise of Healthcare Analytics
Healthcare is rich in data. Yet healthcare lags in using data analytics to learn about the people it serves and to improve its operations and bottom line. Leaders are overcoming structural and cultural hurdles to involve many end users—executives, managers, and clinicians—as well as analysts.
Additionally, the formula CMS proposes is viewed as discriminatory against hospitals with higher percentage of non-white patients, higher percentages of so-called dually-eligible patients who are covered by both Medicaid and Medicare.
And, hospitals contend, it places at a disadvantage those hospitals that receive disproportionate share funding, called DSH facilities, because they have more underinsured and uninsured patients. Pollack said that readmissions among such patient populations are "beyond (the) hospitals' control."
Pollack made his remarks to CMS last week in a 62-page letter that included objections to several other parts of the proposed Inpatient Prospective Payment System rule, for which the comment period ends Monday, June 25.
- MU Compliance Announcement Sparks Concern, Confusion
- New G-Codes to Pay Doctors for Broad Array of Non-Face-to-Face Care
- Scary Financial Challenges for 2014
- MGMA Urges 'End-to-End' ICD-10 Testing
- Resisting the Healthcare Consolidation Frenzy
- 1 in 5 CT Screenings for Lung Cancer Results in Overdiagnosis
- LifePoint Bolsters Presence in Michigan's Upper Peninsula
- Give Nurses in Wheelchairs a Chance
- HL20: George Halvorson—Expectations for Success
- CMS Sets 2014 Pay Rates for Hospital Outpatient and Physician Services