Question

Explain why hospital readmissions are so costly for health systems or third-party payers. Explain your answer from the perspective of the three major stakeholders—providers, patients, and payers—and your analysis of the current reimbursement environment.

Answer 1

Hospital readmission refers to patient getting admitted in less than 30 days after a discharge. The reason for readmission to be costlier are because of the extra medical supplies, equipment, medication which can best fit the patient than the previous or normal status forms the reason for very high expenditure to the health care organization.

The providers has to provide service on the grounds of fee for service .The hospital have to pay a hefty fine for it.The providers may loose nsne and fane along with trust.

The patient will have both financial and physical loss to get his health back.

The current reimbursement environment strictly follows to penalize the hospital which had readmission in less than 30 days

The players will have difficulty and a lot more formalities to accept the claims of readmission.