Feb 6, 2019
Researchers have raised legitimate questions about whether an Obamacare change actually increased death levels nationwide.
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Researchers have raised legitimate questions about whether an Obamacare change actually increased death levels nationwide.
Study Finds Medicare Readmissions Penalties Have Not Increased Mortality from Heart Failure
MedicalResearch.com Interview with:
Dr. Nuckols Teryl K. Nuckols, MD Vice Chair, Clinical Research Director, Division of General Internal Medicine Cedars Sinai Los Angeles, California MedicalResearch.com: What is the background for this study? Response: The Medicare Hospital Readmissions Reduction Program (HRRP) penalizes hospitals with increased 30-day readmission rates among seniors admitted with heart failure (HF). Heart failure readmission rates declined markedly following the implementation of this policy. Two facts have raised concerns about whether the HRRP might have also inadvertently increased 30-day heart failure mortality rates. First, before the policy was implemented, hospitals with higher heart failure readmission rates had lower 30-day HF mortality rates, suggesting that readmissions are often necessary and beneficial in this population. Second, 30-day HF mortality rose nationally after the HRRP was implemented, and the timing of the increase has suggested a possible link to the policy. Are hospitals turning patients away, putting them at risk of death, or is the increase in heart failure mortality just a coincidence? To answer this question, we compared trends in 30-day HF mortality rates between penalized hospitals and non-penalized hospitals because 30-day HF readmissions declined much more at hospitals subject to penalties under this policy. MedicalResearch.com: What are the main findings? Response: We found that increases in 30-day mortality were nearly identical at penalized and non-penalized hospitals, despite dramatically different trends in readmission rates. MedicalResearch.com: What should readers take away from your report? Response: Our findings do not support the idea that the Medicare Hospital Readmissions Reduction Program has led to an increase in mortality. MedicalResearch.com: What recommendations do you have for future research as a result of this work? Response: Future research should search for other factors that may be contributing to increasing mortality among heart failure patients shortly after hospital discharge. No conflicts of interest. Citation: HF Mortality Trends Under Medicare Readmissions Reduction ... - JACC www.onlinejacc.org/content/72/20/2539 The information on MedicalResearch.com is provided for educational purposes only, and is in no way intended to diagnose, cure, or treat any medical or other condition. Always seek the advice of your physician or other qualified health and ask your doctor any questions you may have regarding a medical condition. In addition to all other limitations and disclaimers in this agreement, service provider and its third party providers disclaim any liability or loss in connection with the content provided on this website. Read the full article
Sodium restrictive diet associated with decrease in HF-related readmissions
Sodium restrictive diet associated with decrease in HF-related readmissions
The KCCQ summary score, or the disease-specific quality of life, increased similarly between groups. The increase, however, tended to be nine points greater in the DASH/SRD participants—indicating the study did not meet its primary outcome.
The researchers found diet-related adverse events were uncommon. Interestingly, only 11 percent of DASH/SRD participants had HF-related hospital readmissions,…
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Rise in 'preventable' emergency readmissions to hospital
http://bit.ly/2J7ohzA #Emergency, #Hospital, #Preventable, #Readmissions, #Rise
Rise in 'preventable' emergency readmissions to hospital
Rise in ‘preventable’ emergency readmissions to hospital
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Increasing numbers of people are being readmitted to hospital in England with preventable conditions such as pneumonia and pressure sores, according to Nuffield Trust research.
Better care in hospital and at home afterwards could have made a difference, it said.
Emergency…
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CMS Punishes Hospitals for Readmissions
7 Things to Know Despite the political tumult over a potential ACA repeal, CMS is set to enforce the health law’s readmission rule by penalizing 2,573 hospitals for having too many Medicare patients readmitted within 30 days, according to federal data released Wednesday cited in a Kaiser Health News report. Here are seven key takeaways…
CMS Punishes Hospitals for Readmissions was originally published on Allison Legal Law Firm
Former Hospital CEO Tells All
Former Hospital CEO Tells All