Hospitals now face Medicare penalties tied to readmission rates, motivating them to work with post-acute providers that can help prevent rehospitalizations.
In the early days of this shift toward more coordinated care, hospitals and health systems generally asked SNFs to bring self-collected data on metrics such as readmissions and length of stay, using that data to determine whether to include a skilled nursing provider in a network. But those days might be coming to an end, according to a report from Skilled Nursing News.
“I think if you went back two years, you would see a lot of effort and energy in SNFs gathering their readmission data and trying to present a better case to their referral partners upstream. This is a failed model,” Loopback Analytics CEO Neil Smiley told Skilled Nursing News.
“[A provider] may say readmission rates are 8%, then Medicare claims [data] come out and the hospital finds out the rate is 22%, but they’ve been spending nine months referring to that building. It can be very skewed,” said Kara Copeland, vice president of care continuum and strategic alignment at Keystone Healthcare, a subsidiary of the Mission Viejo, Calif.-based Ensign.
Read the full story on how data is leveraged to bridge the SNF-hospital gap at Skilled Nursing News.