Over $500 Million in Downward Payment Adjustments Expected for 2017

Michael Scranton

Michael Scranton

Posted on January 18, 2017

Higher Quality Patient CareCMS has reported that 2,579 hospitals will be affected by downward payment adjustments in 2017 due to penalties associated with the Hospital Readmissions Reduction Program (HRRP). That translates to an average penalty of over $190,000, or a 0.73% reduction in reimbursement value. One of the biggest factors for these downward payment adjustments is avoidable ED readmissions. Over the last five years, healthcare organizations have been reporting on this measure without the weight of downward adjustments. The hope was for hospitals to take advantage of this time to make the necessary strides towards reducing readmissions to acceptable levels, as defined by CMS, for the six conditions taken into consideration: chronic lung disease, coronary artery bypass graft surgery, heart attacks, heart failure, hip and knee replacements, and pneumonia.

Care Coordination a Must for Hospitals Moving Forward

The conditions measured by CMS for reimbursement adjustments require a high level of care coordination once patients are released from the hospital environment. To meet this need, hospitals and integrated care delivery networks will need to work diligently to leverage web-based Health IT technologies and innovative mHealth applications to encourage improved patient adherence to care plans and prescribed medications. These technologies will most likely need to integrate across the full continuum of care. Nonetheless, the need to push healthcare to the primary care setting, focusing on prevention and better disease management, will require providers to implement multi-platform technologies to not only increase patient engagement but better support the clinical decision making and coordination processes.
 


Michael Scranton

Michael Scranton

As Director of Business Development, Michael is passionate about helping healthcare systems successfully transition to value-based care.

Related Posts

Graphic of a large laptop with a shield and padlock in front of it. Smaller images of people on the left and right side of the labtop interact with various mobile devices.

Posted on February 16, 2022 by Pablo Bullian

Welcome back to the Medical Web Experts Security Bulletin. Below are some recent developments that may impact your organization, as well as our recommendations for keeping your systems secure. Mitigating…Read more


Illustration of a boy sittin on top of a computer with security shields floating.

Posted on January 07, 2022 by Pablo Bullian

A Look at 2021’s Most Dangerous Vulnerabilities Found in Windows Patching is a complex task that most companies struggle with or overlook, but keeping systems, and therefore patches, updated is…Read more


Newsletter
Subscribe to Our Newsletter

Get promotions and current business tips. Sign up for our newsletter today.