Interventions as an alternative to penalties in preventable readmissions

作者: Andres Garcia-Arce , Jose L Zayas-Castro , None

DOI: 10.5430/JHA.V4N3P70

关键词: Quality (business)GovernmentPatient Protection and Affordable Care ActMedical emergencyActuarial scienceFiscal yearPsychological interventionMedicaidProspective payment systemHealth careMedicine

摘要: While expenditures in healthcare the United States are highest world, it is widely known that those resources not being used efficiently. The government addressed this situation Patient Protection and Affordable Care Act, an attempt to improve quality affordability of healthcare. In fiscal year 2013, Centers for Medicare Medicaid Services began imposing financial penalties through Inpatient Prospective Payment System hospitals have higher than expected readmission rates specific diseases. nature effects new policy raised several concerns. This article discusses Medicare’s hospital readmissions reduction program presents alternate based on diseasespecific interventions reduce preventable readmissions. Our results show a implementing disease-specific interventions, instead penalties, may save 33.43% from under penalization level first year, while at same time improving delivery care.

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