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Readmission Reduction Program

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!

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Readmission Reduction Program

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  1. 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

  2. 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!

  3. 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”

  4. Post-Acute “Value Add” Care transitions and communication “Rethink” PAC continuum “Flip” death panels Develop private pay models ED as partner Leverage technology

  5. Home Heath “Value Add” Brief transitional visits Intensive care “bursts” Low level “long term maintenance” therapy visits “PCMH Dialogue” Virtual Visits

  6. Thank you! Questions?

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