Medicaid Status, Race Linked with Hospital Readmissions



Nonclinical factors play an unappreciated role in contributing to hospital readmission, and identification of those factors could help providers target interventions to potentially reduce readmissions, researchers say.



2 comments on "Medicaid Status, Race Linked with Hospital Readmissions"
Steve Daviss MD (10/16/2010 at 2:26 PM)

Maryland is considering a potentially preventable readmission program via financial disincentives through its hospital regulated rates program (HSCRC). It identifies ANY psych or substance abuse readmission as being potentially preventable, meaning the index admission is potentially not paid for. The mental health community is concerned about unintentional consequences of this policy, planned to go into effect 2010. http://www.hscrc.state.md.us/init_qi_MHPR.cfm
Susan Ward (10/15/2010 at 9:54 AM)

One of the factors in hospital readmissions that none of the studies seem to take into consideration is "patient noncompliance". You can provide all the teaching and interventions you can think of, but if the patient is noncompliant after leaving the hospital, they are more likely to be readmitted. One intervention that the federal government does not like is "home care". Home care following a hospital admission will asssit the patient in compliance with the treatment plan developed on discharge from the hospital. However, the federal government does not see this important role that home care plays after hospital discharge.

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