The incentive program to discourage nursing homes from discharging patients too quickly will also give bonuses to facilities with fewer rehospitalizations.
Medicare instructs inspectors to look for staffing inadequacies in homes that report suspiciously low numbers of registered nurses and weekend workers.
Siguiendo órdenes del Congreso, Medicare está aliviando sus multas anuales por readmisión en cientos de hospitales que brindan servicios a residentes de bajos ingresos.
In California, Medicare penalized about three-quarters of the 292 hospitals it evaluated. But many that serve a large share of low-income patients will lose less money than they did in previous years.
Two-thirds of Americans worry about unexpectedly large bills from doctors, hospitals or other medical providers, a poll shows. Four in 10 have received one in the past year.
The study follows a Kaiser Health News and New York Times investigation that found nearly 1,400 nursing homes have reported fewer registered nurses on duty than Medicare requires or failed to provide reliable staffing information to the government.
Low staffing is a root cause of many injuries in nursing homes. Kaiser Health News senior correspondent Jordan Rau explains how he connected the dots between manpower and risk at facilities nationwide, using a federa tool known as the Payroll-Based Journal.
Medicare said those homes either lacked a registered nurse for “a high number of days” over three months, provided data the government couldn’t verify or didn’t supply their payroll data at all.
Daily nursing home payroll records just released by the federal government show the number of nurses and aides dips far below average on some days and consistently plummets on weekends. A new California law increases minimum staffing standards at nursing homes, but critics say it doesn’t go far enough.
Despite a decision by the Trump administration to ask a court to nullify the portion of the health law guaranteeing coverage to the sick, the Kaiser Family Foundation poll finds most people want insurers to be required to offer coverage and not charge more.