Forward, into bankruptcy:
The readmission penalty, authorized by the 2010 health-care law, is one of the first examples of the incentives Medicare, the single largest payer of hospital services, is using to try to lower costs and improve care.
Some of the hardest-hit facilities are inner-city hospitals that tend to treat sicker, poorer patients. These patients sometimes end up being readmitted because they have a harder time getting medication and follow-up doctors’ appointments, often because they lack transportation, hospital officials said.
“Not only do we have the very sick patients, they also have very significant social needs,” said Kamaljit Sethi, who heads quality and safety at Providence Hospital in Northeast, where officials estimate they will lose about $320,000 in the coming year.
Cash-strapped Howard University in Northwest was the only area hospital hit by the maximum penalty of 1 percent of its Medicare payments. Howard will receive about $400,000 less in payments in the coming year, according to an analysis of Medicare data for fiscal 2011.
The hospital said that the penalty wouldn’t affect its services but that it planned to “give greater assistance to this population.” Officials declined to comment or provide details.
Besides Howard and Providence, the other District facilities with the highest penalty rates are MedStar Washington Hospital Center and George Washington University Hospital.
Hat Tip: Riehl World View
Photo Credit: Images of Money