Readmission Reduction Program

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description

Readmission Reduction Program. Penalty for “excess” readmissions Year 1 (FFY 2013): Excess readmission ratio = 0.985 Year 2 (FFY 2014): Excess readmission ratio = 0.947. Post-Acute “view of the landscape”. Health systems/hospitals taking greater note of PAC! - PowerPoint PPT Presentation

Transcript of Readmission Reduction Program

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Readmission Reduction Program

• Penalty for “excess” readmissions• Year 1 (FFY 2013): Excess readmission ratio = 0.985• Year 2 (FFY 2014): Excess readmission ratio = 0.947

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Post-Acute “view of the landscape”

• Health systems/hospitals taking greater note of PAC!• Readmissions are the clear focus• Huge variability in PAC (73% as per CMS)• Need better data• Need to “un-know” some practices• Need for innovation• “If we don’t do it, others will”• Best days are ahead of us!

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CCHS is getting started

• Clinically integrated network• ACO for employees• “IAH”• Medical Home without Walls• CMMI Grant (“Bridge the Divides”)• CMS “Type 2” Bundles-1/15• “TCC”

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Post-Acute “Value Add”

• Care transitions and communication• “Rethink” PAC continuum• “Flip” death panels• Develop private pay models• ED as partner• Leverage technology

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Home Heath “Value Add”

• Brief transitional visits• Intensive care “bursts”• Low level “long term maintenance” therapy

visits• “PCMH Dialogue”• Virtual Visits

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Thank you!

Questions?