The CMS' Hospital Readmissions Reduction Program is the policy vanguard of the transition from process to outcome measures for hospital reporting and payment.
The CMS is pushing hospitals to establish more aggressive care plans and to team up with non-medical personnel such as social workers in a new guidance aimed at reducing readmissions for minority and low-income Medicare enrollees.
A partnership between insurer Molina Healthcare of Michigan and mental health provider Common Ground in Bloomfield Hills is tackling arguably the most expensive and chronically ill patients in the health care system: those who are dually enrolled in the Medicare and Medicaid programs.
There's no question that race, gender, socio-economic status and health literacy influence a patient's healthcare access, cost and outcomes. But what's still fuzzy is an understanding of which factors are within a provider's control and how to adjust for these factors in value-based payments.
The socio-economic status of patients may explain some of the variation in hospital 30-day readmission rates. But it's the quality of the facilities where patients go when they are discharged that could play a key role, according to a study published Tuesday in the journal Health Affairs.
Cleveland Clinic and the University of Texas Health Science Center at Houston have been leading clinical trials of mobile stroke units, which are enabling the hospitals to start stroke treatment before patients reach the hospital.
Ashish Shah had a hunch that social media—a tool used every day by healthcare providers outside work—could be the key to improving results on the job, too. It looks like he was right.
Behavioral-health disorders have a significant effect on hospital readmissions. But many hospitals have yet to give them sufficient attention, even as they strive to develop better care-coordination plans for other chronic conditions.
Hospitals are stepping up their efforts to monitor patients after discharge to reduce readmission rates that can lead to Medicare penalties.
Intensive use of patient data for clinical and cost improvement are hallmarks of the hospitals that made this year's list of Truven Health Analytics' 50 Top Cardiovascular Hospitals in the U.S.
Joe Mullany, CEO of the Detroit Medical Center, discusses how his system's Medicare Pioneer ACO has achieved successful results and the challenges and rewards of operating in economically troubled Detroit.
Regarding the recent article, “Readmissions may say more about patients than care”, I was the medical director at a hospital in Gary, Ind., brought in to turn around the emergency department, so I have seen underserved areas up close.