Modeled after a program that encourages low readmission rates to hospitals, the Centers for Medicare and Medicaid Services (CMS) will introduce a new financial incentive program effective October 1, 2018 for skilled nursing facilities. CMS will withhold 2% of a facility’s Medicare reimbursement until they have shown that they can keep down the number of their residents who return to a hospital within 30 days of discharge.

What does this mean for nursing home residents?  In theory, the new regulations will improve nursing home discharge planning by making nursing homes more accountable for the care they provide by initiating a 30-day readmission penalty rule.

Under the new regulations, the new readmission penalty will not vary by age or socioeconomic status of the patient. However the penalty will be less for readmission of a male than a female. Men are historically more likely to be readmitted to hospitals within 30 days than women.

Transitioning from nursing home to home can be complicated.  The Rothkoff Law Group, as an Elder Care Law Firm, is here to help with that transition and keeping your loved one at home through our health care advocacy via our elder care coordinators.

You can read more about the nursing home readmission penalties at the below link.

Medicare Takes Aim At Boomerang Hospitalizations Of Nursing Home Patients

About Jerry

Jerold E. Rothkoff, a practicing New Jersey and Pennsylvania attorney, is the Principal of the Rothkoff Law Group, an elder care law firm. Jerry dedicates his practice to serving clients in the areas of life care planning, long-term care planning, Medicaid & VA benefits, and advocacy for the elderly and disabled. He is past President of the NJ Chapter of the National Academy of Elder Law Attorneys, former chair of the elder law section of the NJ State Bar Association, and past President of the Life Care Planning Law Firm Association. Jerry continues to be an outspoken advocate for the rights of the elderly and disabled. He writes for and gives presentations regularly to attorneys and other professionals about legal issues related to seniors and those with disabilities. Jerry’s community activities include the Twilight Wish Foundation, the Delaware Valley Stroke Council, the Alzheimer’s Association, as well as numerous other advocacy groups. When not in the office, Jerry spends time with his wife, Erica, and their five children, eighteen-year old identical twin girls, Liza and Julia, fifteen-year old fraternal twin boys, Evan and Gregory, and six-year old Aitan.

Leave a Reply