Patient Post-discharge Transitions and Inpatient Readmissions Impose Costly Burdens for Employers and Carriers.

摘要: Although the Centers for Medicare & Medicaid Services has focused on hospital readmissions select diagnoses through Hospital Readmissions Reduction program, there is no similar initiative employers, who account majority of 48% private health care spending in United States. are costly and it estimated that as many half these may be preventable. This study analyzes a national claims database to understand post-discharge transitions their cost working population. Within an employer-sponsored, commercially-insured population, this found 4% members hospitalized annually drive 37% population cost. Of members, 17% undergo additional admissions year following discharge approximately 67% admitted site significant implications cumulative care. More than third patients discharged home will transition higher settings over course year. Mental substance abuse add significantly admission/readmission rates costs. Prior research indicates interventions activate engage self-management beneficial mitigating overall readmissions.