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Dual-Eligibles: The Next Target in Hospital Readmissions Penalties

from Modern Healthcare

The CMS is proposing to adjust penalties in its Hospital Readmissions Reduction Program according to a hospital's proportion of dual-eligible patients, garnering praise from industry stakeholders even though they say the move is an incremental change. The proposed rule, released recently, would take effect in fiscal 2019. In it, the CMS laid out several approaches and alternatives for determining hospital groupings, a hospital's proportion of dually eligible patients and other key metrics. more

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