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.