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2012 change in Medicare payment rules. Where once hospitals were paid piecemeal for every admission and procedure during patients' stays, now hospitals are penalized when patients return within 30 days for the same problem, or because of a complication from their previous stay, if the readmission is deemed by Medicare to be unnecessary. There are no rewards given to hospitals that manage to reduce their readmission rates, and hospitals cannot opt out of the penalty program. Some places are already feeling the pain: According to Kaiser Health News, federal records released on Aug. 2, show that Medicare will impose $227 million in fines on 2,225 hospitals in 49 states starting Oct. 1.

toward similar payment systems, is an attempt to stop the revolving door of hospitalizations. So far, Medicare is refusing payment for unnecessary readmissions for three high cost conditions: heart failure, heart attack and pneumonia. That list is expected to expand by 2014 to include Chronic Obstructive Pulmonary Disease (COPD) and coronary bypass surgery. There are additional penalties for what Medicare deems excessive readmissions overall. It is on.

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 biggest challenges for the future of hospitals is coming up with ways to keep people out. The federal government says that one in five elderly patients Burberry Sneakers White is readmitted within 30 days of leaving a hospital. Many of those readmissions can't be helped, owing to an unanticipated change in a patient's condition or a planned follow up treatment. But too many are the result of patient confusion over new drug regimens, inadequate follow up with primary care physicians, or a family's inability to deal with home care. An estimated Burberry Shoes Online

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12 percent of Medicare patients may be readmitted for such avoidable reasons, according to the Medicare Payment Advisory Commission. Avoiding even one of every 10 of those readmissions could save Medicare $1 billion, the commission Burberry Mens Shoes Sale

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says. Those staggering numbers are behind an Oct.

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The Medicare rule change, which is likely to be followed by private insurers as they move Caterpillar Shoes Womens

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