Every year, CMS levies penalties nationwide on hospitals with poor readmission performance. Although they did remove some data from consideration because of the pandemic 82% of hospitals will still be hit with a penalty in Fiscal Year (FY) 2022.
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, 3,046 hospitals are eligible for the program and the maximum penalty a hospital could receive is 3%.
Usually, the program contains patient data from a three-year period. However, this period only has discharges from July 1, 2017, through December 1, 2019. CMS excluded January through June of 2020 due to the pandemic.
There were 2,216 hospitals excluded because they either have too few cases or they are one of these types of hospitals: long-term care, cancer, childrens', 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 in 2022.
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.
Medisolv’s predictive analytics software Value Maximizer 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.