One measure that’s affected by CMS (Facilities for Medicare & Medicaid Providers) pushed incentives and disincentives is hospital readmission charges. CMS has established the Hospital Readmissions Discount Program (HRRP), which imposes monetary penalties on hospitals with higher-than-expected 30-day readmission charges for sure circumstances comparable to coronary heart assault, coronary heart failure, and pneumonia. Alternatively, CMS additionally offers incentives for hospitals that scale back their readmission charges by means of the Hospital Enchancment and Innovation Networks (HIINs).
These incentives and disincentives have led to elevated give attention to lowering hospital readmissions, as hospitals face monetary penalties for higher-than-expected readmission charges. Consequently, many hospitals have carried out methods to enhance affected person care transitions and scale back the chance of readmissions, comparable to enhancing discharge planning, offering medicine reconciliation, and enhancing affected person training and communication.
The HRRP program has additionally led to considerations that hospitals could keep away from readmitting sufferers who want additional care out of worry of economic penalties, which can result in hostile well being outcomes for sufferers. Nonetheless, CMS has acknowledged that this system is designed to encourage hospitals to enhance the standard of care and scale back readmissions by means of evidence-based practices.
General, CMS pushed incentives and disincentives have had a major affect on hospital readmission charges and have led to elevated consideration and efforts to enhance affected person care transitions and scale back readmissions.