High rate of readmissions is a significant burden for the U.S. healthcare system. Medicare spends $26B per year for readmissions and almost $17B for avoidable readmissions. In 2013, the average cost of all-cause readmission was $13,800 per readmitted Medicare beneficiary. Now in 2018, CMS penalty for readmissions under the HRRP is $564M in total for 2,591 hospitals (~80% of evaluated hospitals), a 6.7% increase over 2017.
Readmissions are costly and are also indicative of quality of care. They are a critical part of STAR, HEDIS, and ACO quality measures. Even though they are a significant challenge, change is possible. If health plans work together with providers, they have a better chance of addressing readmission issues than if either were working alone.
To succeed, health plans and providers must collaborate closely to address:
- Difficulties related to the identification of patients and risk levels of readmission.
- Barriers that impede care coordination among various providers across care settings.
- Problems with chronic conditions.
- Challenges related to medication management.
Register today for this complimentary webinar from ZeOmega® to learn how innovative population health management (PHM) solutions can help overcome these challenges.
Listen as industry thought leaders and subject matter experts discuss interoperability, analytics, integrated assessments and care planning, disease management, and support for multidisciplinary teams that can assist health plan/provider collaboration.
Date: September 18, 2018
Time: 10:00-11:00 a.m. CST
Matt Adamson, Vice President, Product Planning & Innovations, ZeOmega
Sandra Hewett, Vice President, Clinical Solutions, ZeOmega
Nancy Narraway, SVP, Marketing, ZeOmega