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Hospitals face $1.6 billion in penalties, survey says by 123wert sdfsf





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Hospitals face $1.6 billion in penalties, survey says by
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Hospitals face $1.6 billion in penalties, survey says


 
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NEW YORK – As they work to curb readmission rates and shifttoward value-based reimbursement, hospitals are being slapped withbig penalties that experts say are only increasing. A recent studyfrom CipherHealth shows a mounting $1.6 billion in HCAHPS andreadmission penalties facing hospitals today. The survey calculated that at more than five hundred hospitalsnationwide, three-year at-risk amounts were $3,500 per inpatientbed, a number experts say could provide clarity and prioritizingstrategies for the healthcare industry. Value-based purchasing and readmission penalties for hospitals seekto align incentives around patient care, tying the successfulrecovery of a patient and that patient"s perception of thequality of the hospital to Medicare and Medicaid reimbursements. With 39 percent of hospitals running at a loss in2011, even a small change to these reimbursement rates can lead tohuge changes in staffing models at hospitals and ultimately thequality of patient care they are able to provide.



[See also: Readmissions have hospitals stymied .] The CipherHealth study analyzed how this legislation would affectacute care hospitals, specifically. Using data from the American Hospital Association , Kaiser Family Foundation and CipherVoice patient surveys, thereport found some surprising results. In states such as West Virginia, the statewide risk is quite low,ranking 32nd when compared to the rest of the nation on three-yearat-risk totals for readmissions and HCAHPS. However, at $3,600, theaverage amount at risk per bed in West Virginia is among thehighest state averages in the country. "The risk per bed view is a much more effective way to lookat the data.



Thinking of penalties on a per-bed basis helpshospitals to prioritize the dozens of different pieces oflegislation and focus on what will create the most value for theirorganization," says Zachary Silverzweig, one of the foundersof CipherHealth. "It"s why we we"re able toestablish such a strong presence in West Virginia. We quicklyrealized there was a serious pain point and we were well-positionedto deliver a solution to help hospitals avoid thesepenalties." In some states, however, the story is almost the exact opposite.California ranks second in terms of total at risk amount, yet ranks30th when viewed on a risk-per-bed basis. Texas ranks fifth at theaggregate level, but on a per-bed basis, it ranks 32nd.



However,when looking at the data for California and Texas at the healthsystem level, there is wide variation. Tenet Healthcare, which has a presence in 11 states, has an amountat risk per bed of $2,203 overall, but for its Texas facilities,amount at risk per bed is $1,481. Other health systems such as EastTexas Medical Center have a much higher amount at risk per bed at$4,370. [See also: Value-based purchasing elicits favor, concern among healthcareexecs .] The analysis also offers insights that defy geographic anddemographic trends: North Dakota has a 70 percent higher per-bedrisk than South Dakota and Mississippi has 51 percent higheraverage per-bed risk than neighboring Alabama. With hospital executives facing everything from RAC audits tovalue-based purchasing to meaningful use to ICD-10 , it is critical to be able to prioritize the various hospitalinitiatives and focus on key projects that can drive both short andlong-term ROI, the study's authors note.

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