Articles Posted in Hospital penalties

The Hospital-Acquired Condition Reduction Program, established by the healthcare reform law, penalizes hospitals that fall within the worst-performing quartile, based on measures of adverse events occurring during hospital stays, such as pressure ulcers, pulmonary embolisms and certain types of healthcare-associated conditions.724 hospitals were in that bottom-scoring range for 2015 and will have their payments for all hospital discharges occurring after Oct. 1, 2014, reduced by 1%.

CMS says that overall payments would drop by roughly $330 million in 2015 due to the HAC program.

2,610 hospitals will have their Medicare reimbursements cut because too many of their patients were readmitted within 30 days according to Kaiser Health News. For each Medicare beneficiary treated from Oct 1 to Sept. 30 next year, the reimbursements will be cut. some will be cut 3% and nearly 500 will lose 1% or more of their Medicare payments. Combined, the penalties will result in more than $428 million .

Medicare’s goal is to get the hospitals to think more about discharging patients with better planning.

About 1,400 hospitals are exempted from penalties as they provide specialized cancer care, psychiatry or other specific services.