Skip to the main content.

Quality Solutions

Hospital eCQM Reporting
Monitor, measure, and improve eCQM performance down to the patient level.
See all features >

Hospital Chart-Abstraction
Streamline abstraction, reduce errors, and save time with user-friendly workflows.
See all features >

MVP Reporting
Streamlined tools to manage MVPs and boost performance.
See all features >

MIPS Reporting
Simplify MIPS reporting and monitor clinician performance.
See all features >

ACO APP Reporting
Centralized ACO reporting and clinician performance in one solution.
See all features >

Performance Tools

QualityIQ
Understand your entire health system's performance in a single view.
View now >

ModelIQNEW
Connect quality and cost to understand financial risk and improve performance.
View now >

Hospital Star Rating Analyzer
Turn CMS Star Ratings into clear, actionable performance insight.
View now >

Advisory Services
Quality improvement consulting services to move beyond compliance.
View now >

MA Stars Management NEW
Forecast Star Ratings and track performance, across your Medicare Advantage program.
View now >

MA Drug MeasuresNEW
Improve drug measure performance with real-time insights and targeted gap closure.
View now >

 

AI & Automation

PRO-PM PlusNEW
Automate patient follow-up and documentation.
View now >

AI Registry Abstraction NEW
Automate registry abstraction to reduce manual workload.
View now >

Agentic AI Tools
Automate member outreach and complex workflows with AI agents.
Coming soon

Community

Resource Center
Blog articles, webinars, and guides to help you master quality improvement.
View now >

Customer Knowledge Center
Explore product updates, release notes, and insider tips from other Medisolv users to get the most from your solutions.
Connect now >

Advanced Quality Improvement (AQI)
Subscription-based support, monitoring, and optimization throughout the year.
View now >

Quality Academy
Customer-exclusive education, training, and resources for healthcare quality teams.
View now >

Medisolv Blog Which States Had the Most Hospitals Penalized for Readmissions

Which States Had the Most Hospitals Penalized for Readmissions

Which States Had the Most Hospitals Penalized for Readmissions

Every year, CMS levies penalties nationwide on hospitals with poor readmission performance. Even in light of everything going on with COVID-19 this year, 83% of hospitals will still be hit with a penalty in Fiscal Year (FY) 2021.

Since the program began in FY 2012, CMS has steadily been doling out penalties to hospital’s with poor readmission performance and increasing the maximum amount of penalty applied. This year, 3,080 hospitals are eligible for the program and the maximum penalty a hospital could receive is 3%.

There were 2,176 hospitals excluded because they either have too few cases or they are one of these types of hospitals: long-term care, cancer, children's, psychiatric, critical access and veterans'. Maryland hospitals and hospitals in US territories are also excluded.

Take a look at our slideshow below to learn more about readmission penalties, including what's at stake for poor readmission performance and which states had the most hospitals penalized.

The Readmission Reduction program can be a hard program to master because much of what can affect a readmission is out of your control.

You can’t make any incentive money in the program. All you can do is attempt to get zero penalty.

This year, Medisolv launched a new product which predicts your future performance and penalty in the readmission program. Watch this 2-minute video to see how it works.

 

Medisolv is dedicated to helping health care organizations improve their quality performance in areas such as readmissions. Reach out today to learn more about our quality reporting software and clinical expert support.

Sources:
https://khn.org/news/medicare-fines-half-of-hospitals-for-readmitting-too-many-patients/
https://khn.org/news/hospital-penalties/?penalty=readmission
https://www.beckershospitalreview.com/finance/cms-fines-2-545-hospitals-for-high-readmissions-5-things-to-know.html

 

Medisolv Can Help 

Talk to us today to see a demonstration of our software and learn about the incredible support we give to our clients every day.

In the meantime, here are some resources that will help you get started. 

Download: "Readmission Prevention Checklist"
Blog:
"How to Use CMS' Value-Based Programs Data"

 

 

Comments