Starting in October, a provision in the Patient Protection and Affordable Care Act of 2010 (PPACA) will cut Medicare payments for hospitals with high patient rehospitalization rates.
Hospitals may try to get rehospitalization rates down by doing more to manage the care of the most complicated Medicare enrollees: those with 5 or more chronic conditions.
About 38% of Medicare enrollees with 5 or more chronic conditions who left a hospital in 2009 needed more hospital care for some reason within 30 days, according to analysts at the SCAN Foundation, Long Beach, Calif.
For all Medicare enrollees, the 30-day rehospitalization rate was just 16%, the analysts say.
The 90-day Medicare rehospitalization rate was 52% for enrollees with 5 or more chronic conditions and 23% for all enrollees.