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A Readmission Management ROI Analysis Can Help Hospitals Facing CMS Penalties

Posted by Lora Schwenk Quinn - Sr. Director, Product Marketing on January 24, 2013

hospital readmission management , readmission management , patient engagement

It’s no secret among healthcare leaders that the Centers for Medicare and Medicaid Services (CMS) have penalized 2,217 hospitals for excessive readmissions[i]. What can be less clear, though, is how to address the challenge of readmission management.

The Centers for Medicare and Medicaid Services (CMS) have penalized 2,217 hospitals for excessive readmissions as of November 2012.

More than two years ago, a RelayHealth survey showed that 60 percent of healthcare leaders cited pre-discharge care coordination as more critical than post-discharge care in reducing preventable readmissions. CMS, however, indicates that nearly 66 percent of adverse post-discharge events among Medicare patients are related to medications, and only 50 percent of readmitted patients had contact with an outpatient doctor after their initial hospitalization.

Post-discharge outreach can reduce preventable readmissions by helping “close the loop” with patients who are at risk for readmissions and ensuring adherence to their care plans.  In particular, when reducing preventable readmissions, it’s important to:

  • Identify high-risk patients for readmissions early in the care process;
  • Enroll these patients in a post-discharge communication program to encourage adherence to care plan and discharge instructions;
  • Leverage technology and standardized, repeatable processes to ensure the post-discharge program follows best practices and optimizes resources.

Has your hospital implemented a post-discharge readmission management program?  Are you seeing patient outcome improvements or have you tracked the CMS penalties you’re able to avoid? Please share your comments below.


If you’re interested in learning your organization’s ROI for a post-discharge readmission management program, RelayHealth can help. Leverage our no-cost Readmission Management ROI Analysis: 


[i] Hospital readmissions: As penalties begin to bite, 'now they're paying attention'; The Advisory Board Company;  November 28, 2012:

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