|By PR Newswire||
|August 6, 2014 10:10 AM EDT||
SHEPHERDSTOWN, W.Va., Aug. 6, 2014 /PRNewswire-iReach/ -- Medicare will fine hospitals $529 million for serving Medicare patients twice in 30 days. The fines reduce hospital care for seniors, thus saving Medicare money.
The largest fines are $4 million each for Beaumont Hospital in Royal Oak, MI; Thomas Jefferson University Hospital in Philadelphia; Northwestern Memorial Hospital in Chicago; and Florida Hospital in Orlando.
Total fines by state range from $51 million in New York, $40 million in Illinois, $38 million in Florida, and $33 million in California, to $75,000 in Vermont and zero in Maryland. Medicare's headquarters are in Maryland, and the state promised to cut readmissions by 2019, so Medicare exempts it. All hospitals and states are listed on Globe1234.com.
Hospitals pay fines when patients in five categories stay in a hospital, and then have an unplanned hospital stay within 30 days. It does not matter if the stays are related or not, at the same or different hospitals. Fines apply when hospitals have more readmissions than the national average, adjusted for patient mix. Eighty-three percent of hospitals where Medicare calculated the data will pay fines, because they had more readmissions than average in at least one category.
Hospitals earn fines when patients have Medicare Part B for doctor bills and are in one of these five categories: elective hip or knee replacement, heart attacks, pneumonia, congestive heart failure, and chronic obstructive pulmonary disease (COPD).
These conditions often occur in fragile seniors who need more frequent care than average. Medicare is trying to reduce the hospital stays it covers for these seniors to save money. Patients can avoid the limits on care by dropping Part B if they have access to other insurance, going to Maryland hospitals, or waiting until the 31st day to go back to a hospital if medically appropriate.
Doctors Joynt and Jha of Harvard in the Journal of the American Medical Association Jan 23, 2013 found that fines fall on hospitals which serve the neediest patients, "large hospitals, teaching hospitals, and SNHs [safety net hospitals] are more likely to receive payment cuts" from readmission penalties, "likely related to both case mix (medical complexity) and socioeconomic mix of the patient population."
The Affordable Care Act has formulas for the fines. Medicare chooses the exemptions and chose to add hip and knee replacements and COPD this year. Medicare also publishes each hospital's total readmission rate for all Medicare patients, to deter all readmissions for 30 days after a hospital stay.
Medicare posted the rules on its website August 4 and will publish them in the Federal Register August 22. Fines have accrued in the past three years, and payment will start October 1. Estimates for each hospital were prepared and posted by a private site, Globe1234.com.
Globe1234.com is a watchdog site on issues such as readmissions, accountable care and diet guidelines. It is edited by Paul Burke, a retired federal researcher. A graduate of Brown University, he has managed and analyzed data for HUD, Congress' Office of Technology Assessment, and the UN Development Programme.
Media Contact: Paul Burke, Globe1234.com, 304-876-2227, [email protected]
News distributed by PR Newswire iReach: https://ireach.prnewswire.com
Sep. 5, 2015 08:00 AM EDT Reads: 764
Sep. 5, 2015 08:00 AM EDT Reads: 313
Sep. 5, 2015 08:00 AM EDT Reads: 153
Sep. 5, 2015 07:15 AM EDT Reads: 1,650
Sep. 5, 2015 07:15 AM EDT Reads: 183
Sep. 5, 2015 07:00 AM EDT Reads: 452
Sep. 5, 2015 07:00 AM EDT Reads: 113
WebRTC has had a real tough three or four years, and so have those working with it. Only a few short years ago, the development world were excited about WebRTC and proclaiming how awesome it was. You might have played with the technology a couple of years ago, only to find the extra infrastructure requirements were painful to implement and poorly documented. This probably left a bitter taste in your mouth, especially when things went wrong.
Sep. 5, 2015 07:00 AM EDT Reads: 521
Sep. 5, 2015 07:00 AM EDT Reads: 125
It’s been proven time and time again that in tech, diversity drives greater innovation, better team productivity and greater profits and market share. So what can we do in our DevOps teams to embrace diversity and help transform the culture of development and operations into a true “DevOps” team? In her session at DevOps Summit, Stefana Muller, Director, Product Management – Continuous Delivery at CA Technologies, answered that question citing examples, showing how to create opportunities for ...
Sep. 5, 2015 06:45 AM EDT Reads: 554
The 17th International Cloud Expo has announced that its Call for Papers is open. 17th International Cloud Expo, to be held November 3-5, 2015, at the Santa Clara Convention Center in Santa Clara, CA, brings together Cloud Computing, APM, APIs, Microservices, Security, Big Data, Internet of Things, DevOps and WebRTC to one location. With cloud computing driving a higher percentage of enterprise IT budgets every year, it becomes increasingly important to plant your flag in this fast-expanding bu...
Sep. 5, 2015 06:30 AM EDT Reads: 1,729
With the Apple Watch making its way onto wrists all over the world, it’s only a matter of time before it becomes a staple in the workplace. In fact, Forrester reported that 68 percent of technology and business decision-makers characterize wearables as a top priority for 2015. Recognizing their business value early on, FinancialForce.com was the first to bring ERP to wearables, helping streamline communication across front and back office functions. In his session at @ThingsExpo, Kevin Roberts...
Sep. 5, 2015 06:00 AM EDT Reads: 150
Sep. 5, 2015 06:00 AM EDT Reads: 152
In his session at @ThingsExpo, Lee Williams, a producer of the first smartphones and tablets, will talk about how he is now applying his experience in mobile technology to the design and development of the next generation of Environmental and Sustainability Services at ETwater. He will explain how M2M controllers work through wirelessly connected remote controls; and specifically delve into a retrofit option that reverse-engineers control codes of existing conventional controller systems so the...
Sep. 5, 2015 05:00 AM EDT Reads: 300
ElasticBox, the agile application delivery manager, announced freely available public boxes for the DevOps community. ElasticBox works with enterprises to help them deploy any application to any cloud. Public boxes are curated reference boxes that represent some of the most popular applications and tools for orchestrating deployments at scale. Boxes are an adaptive way to represent reusable infrastructure as components of code. Boxes contain scripts, variables, and metadata to automate proces...
Sep. 5, 2015 04:30 AM EDT Reads: 159