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The final rule updates Medicare inpatient rates to acute care hospitals by 1.21 percent, provides flexibility in reporting of electronic clinical quality measures, and changes the payment adjustment methodology for the Hospital Readmissions Reduction Program.

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A study finds hospitals penalized more often in the Hospital Readmissions Reduction Program's first years — including safety-net hospitals — were more likely to be penalized all five years.

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America’s Essential Hospitals encourages CMS to improve transparency, risk adjust, and reduce regulatory burden for essential hospitals.

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The study found that the penalty burden was greater in hospitals treating a high share of patients with socioeconomic disadvantages.

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The rule would raise inpatient operating payment rates, revise Medicare DSH payment methodology, and apply a transitional methodology for HRRP penalties.

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The rule contains provisions on the Hospital Readmissions Reduction Program, Medicare DSH, the Inpatient Quality Reporting program, and more.

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Hospital participation in Medicare value-based programs in 2015, including ACOs and bundled payments, was associated with 2,377 fewer readmissions and $32.7 million in savings.

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CMS on Dec. 19 refreshed its Hospital Compare site, including data on the Ambulatory Surgical Center Program, Hospital Readmission Reduction Program & more.

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President Obama signs the 21st Century Cures Act, which includes the historic risk adjustment provision and also provides partial relief to hospitals from cuts to off-campus outpatient department payments.

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readmissions

The legislation, expected to quickly receive the president's signature, includes two key advocacy goals for the association: risk adjustment of the Hospital Readmissions Reduction Program and partial relief from hospital outpatient department payment cuts.

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In this webinar we looked back at the 2016 advocacy landscape, discussed the progress we have made on key issues affecting essential hospitals, reviewed our interaction with the Trump transition team, and looked forward to 2017. Webinar Recording

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Essential hospitals thank House lawmakers for voting to protect access to health care services for vulnerable patients and underserved communities by accounting for patients' social and economic status in the Hospital Readmissions Reduction Program (HRRP).

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The campaign of online and print advertisements and media outreach calls on Congress to pass legislation to risk adjust the Hospital Readmissions Reduction Program.

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CMS has awarded $347 million to the 16 organizations — including Premier Inc. — to support the next phase of a patient safety initiative.

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Association president and CEO argues that hospitals serving disadvantaged communities are penalized by federal quality initiatives that do not account for socioeconomic obstacles.

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The webinar will introduce AHRQ's updated hospital guide for delivering transitional care to reduce readmissions among adult Medicaid patients.

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Flavor Harvest @ Home, a medical nutrition therapy program, provides meals to Lee Memorial Health System patients who are at risk for being malnourished.

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America’s Essential Hospitals supports H.R. 5273, the Helping Hospitals Improve Patient Care Act. Section 102 of the bill would help level the playing field for essential hospitals in Medicare's readmissions reduction program.

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Association supports bill, which would add needed risk adjustment to the Medicare Hospital Readmissions Reduction Program and provide some relief for recent cuts to off-campus hospital outpatient department payments.

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Tool, developed by association member University of Chicago, shows geographic disparities in health outcomes, health care use, and health care spending.

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State hospital association says risk adjusting CMS readmissions methodology results in significantly less variation in measured quality differences among hospitals.

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The guide focuses on reducing readmissions for racial and ethnic minority groups and is part of the CMS Equity Plan for Improving Quality in Medicare.

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First of five consensus reports from National Academy of Medicine (NAM) ad hoc committee identifies social risk factors for Medicare payment and quality programs, and the measures they can impact.

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Essential hospitals 2.67 times more likely than other hospitals to receive penalties under Medicare readmissions program in FY 2016

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readmissions
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Rule includes a net increase in IPPS payment rates of 0.9 percent, Medicare DSH cuts of $1.2 billion in FY 2016, and updates to the HAC Reduction, Hospital VBP, IQR, and EHR Incentive programs.

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Comments caution CMS about Medicare DSH payment cuts and urge CMS to ensure measures and methodologies used in quality reporting programs are adjusted for sociodemographic factors.

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readmissions

AHRQ-funded study shows heart disease drives readmissions overall, while orthopedic conditions drive readmissions to the same hospital. Original admission from the ED also drives same-hospital readmissions.

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About America’s Essential Hospitals

America’s Essential Hospitals is the leading association and champion for hospitals and health systems dedicated to high-quality care for all, including the most vulnerable. Since 1981, America’s Essential Hospitals has initiated, advanced, and preserved programs and policies that help these hospitals ensure access to care. We support members with advocacy, policy development, research, and education.