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Background: In several states, payers penalize hospitals when an inpatient readmission follows an inpatient stay.
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She said the policy may penalize hospitals that are getting more information into the billing records.
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New regulations penalize hospitals that have to readmit patients so the proposal also addresses care after discharge.
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Medicare began penalizing hospitals recently for excess readmission for specific diagnoses, including some operative procedures.
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Medicare now penalizes hospitals if a patient is re-admitted for the same condition within 30 days.
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Pay-for-performance schemes should adjust for transfer status to avoid unfairly penalizing hospitals that frequently accept transfers.
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The proportion of patients with repeat admissions was similar: 14.4% at penalized hospitals and 14% at other hospitals.