Wednesday, November 25, 2009

56% Re-hospitalizations rate Among Medicare Patients Cost $17.4 Billion (with a B)

There was a recent study published by about re-hospitalization of Medicare members that underscore the reason we started the Buddy Check Network.

This study of Medicare fee-for-service claims data for nearly 12 million Medicare beneficiaries discharged from a hospital in 2003 and 2004 found that one of five patients was readmitted within 30 days, and half of nonsurgical patients were re-hospitalized without having seen an outpatient doctor in follow-up.

The estimated cost of unplanned hospital readmissions in 2004 accounted for $17.4 billion of the $102.6 billion total hospital payments made by Medicare that same year.

To address the problem, the researchers recommend intervention at the time of discharge, reliable and prompt follow-up care by primary care physicians, and aggressive management of chronic illnesses.

This study focused on the enormous cost associated with re-hospitalizations but I have always been concerned with the effect on the quality of life issues. Family members have to get more involved in this because the study showed that half of the patients readmitted in the first 30 days did not receive any follow-up form their Doctor or medical provider.

Additional studies have shown that re-hospitalizations have been reduces by as much as 39% by instituting a basic follow-up program with the patients. This is something we can do on our own and not wait for Government efforts.

Please Read Complete Report and let me know your thoughts.

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