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Reducing Potentially-Preventable Readmissions in …

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INTRODUCTIONPreventable hospital Readmissions are considered to be a marker of poor-quality care and may reflect prob-lems with care coordination. Additionally, they place a significant financial burden on the health care Since October 1, 2012, the Centers for Medicare & Medicaid Services (CMS) has penalized Prospective Payment System (PPS) hospitals with excess readmis-sions by Reducing their Medicare payments under the hospital Readmissions Reduction Program (HRRP) authorized by the Affordable Care Currently, Critical Access Hospitals (CAHs) are exempt from these penalties; however, readmission rates are an area of focus in the Medicare Beneficiary Quality Improve-ment Project (MBQIP).

2 Reducing Potentially-Preventable Readmissions in CAHs Flex Monitoring Team Policy Brief 43 March 2016 www.flexmonitoring.org Rural Hospital Flexibility (Flex) Program work plans

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