Skilled nursing operators with high rehospitalization rates face several consequences. For one, the Centers for Medicare and Medicaid (CMS) has created financial disincentives that can amount to a significant loss of revenue. Moreover, hospitals are far less likely to refer patients needing post acute care to underperforming nursing homes with high rehospitalization rates. Since rehospitalization care rates are publicly available online, patients and their families are increasingly more discerning when planning their post-acute care as well. And payers are reluctant to include those nursing homes with higher rehospitalization rates.
The key to preventing readmissions is detecting subtle changes in condition and intervening early. But even the most common causes of hospital readmission are often overlooked until they become acute.