New Data on Hospital Readmissions: CACEP Working Paper #4

The Alliance today released Working Paper #4 of the Clinically Advanced and Cost-Effective Placement (CACEP) research project, which examines hospital readmission and admission frequency and associated Medicare episode payments across three episode types: post-acute, pre-acute, and non-post-acute (community-based) care. Hospital readmissions and admissions were analyzed within the context of patients’ chronic conditions and demographic characteristics.

Key Findings

  • Hospital readmissions increased Medicare episode payments by at least 100 percent.
  • Patients with more severe primary chronic conditions tend to have more readmissions.
  • 22.4% of post-acute care episodes have at least one readmission.
  • Medicare post-acute care payments more than double when an episode contains at least one readmission, from an average payment of $15,335 without a readmission to $33,926 with a readmission.

Additional Working Paper #4 Resources

Full Report 
Study Highlights
Executive Summary
Webinar
Presentation Slides

Home Health Implications

CACEP Working Paper #4 data suggest that better management of chronic disease across all three episode types through home health intervention could enable more patients to remain out of the hospital following an initial admission, or prevent avoidable hospitalizations all together.  Clinically appropriate and cost effective care ultimately can improve the quality of patient care and reduce the cost for the Medicare program and taxpayers.  Home health care combines the right mix of care management, prevention training and close observation to significantly reduce hospital admissions.

As lawmakers look into ways to reduce spending from hospital admissions and readmissions, how can home health be part of the conversation? Please comment below to submit your ideas. 

Stay tuned for the release of the final paper of the Clinically Advanced and Cost-Effective Placement (CACEP) project this fall. Details coming soon!

Home Health News Roundup: Week of July 14 – 20

Care Transitions Program Shows Home Health Care “Highly Effective” in Reducing Rehospitalizations

Home Healthcare News

A collaborative effort among hospitals, home health agencies, and a Medicaid-managed care program in upper New York has been successful in reducing hospital readmissions, according to a new report. Read more

 

Home Health Care Goes High-Tech

The Asbury Park Press

New technology is making it possible for more care to be administered from home. Read more

 

Home-Based Care Teams Offer Help for Patients With Dementia

U.S. News Health

New research suggests coordinated home healthcare efforts for patients with dementia can improve quality of life and delay the need for nursing home care. Read more

 

Home Monitoring Device Market Surge to Keep Seniors at Home 

Home Healthcare News

The market for in-home health monitoring services is expected to grow from fewer than 3 million to more than 36 million units over the next five years, according to forecasts from ABI Research. Read more

 

Hospitals’ readmission rates still too high, government says

The Washington Post

Despite government efforts and the threat of financial penalties, hospitals are making little headway in reducing the frequency at which patients are readmitted. Read more

 

HHS: Health law project will cut state costs in major programs

The Hill’s Healthwatch

HHS Secretary Kathleen Sebelius says a new project under the Affordable Care Act will improve care and cut spending in the Medicaid and Medicare programs. Read more


Home Health News Roundup: Week of July 2 – July 6

Nursing home costs grow as home health costs stay flat, survey shows

A new study by Genworth focused on the change in elder care costs in 2011. While nursing facilities saw costs increase between 1.2 and 4.2 percent, home health costs saw no increase at all.

 

New Numbers on Elder Care

With the addition of elder care to the American Time Use Survey, the Bureau of Labor Statistics can now identify the segment of the population providing care to the elderly, as well as the types and frequency of care provided.

 

Study: Frequent Hospice Visits Can Help People Remain Home at End of Life

According to a new report highlighting the importance of hospice programs, patients who prefer to remain home at end of life are more likely to be able to do so if they get frequent visits from nurses and doctors.

 

New elderly care program controls health costs

A new type of elderly care program is saving money by allowing patients to live at home while receiving care and company at a day care center.

 

Use of electronic health records by post-acute providers improves care transitions, experts say

Experts believe the use of electronic health records by post-acute care providers can improve and ease transitions for patients during the recovery process.

 

CMS Wants to Cut Home Health Agency Payments by $20 Million in 2013

On Friday the Centers for Medicare and Medicaid Services (CMS) announced the new home health prospective payment system (HH PPS) rule to cut payment rates to home health agencies by $20 million in 2013. The proposed rule is expected to encourage efficiency and payment accuracy among providers.