Three North Texas hospitals are paying the highest penalty available due to the number of patients readmitted after receiving initial treatment.
Of some 3,500 hospitals nationwide, KHN found just 17 received the 3% penalty for FY 2023. Rau said fewer were penalized this year compared with last because the government relaxed some criteria because of COVID-19.
Baylor Scott and White spokesman Matt Olivolo pointed out that surgical centers in question generally perform outpatient procedures and send patients home each night. He said they have very few Medicare patients and the low number may skew results. But, Rau said CMS divides facilities into five different categories for an appropriate comparison among similar hospitals.Rau said the penalty is significant since hospitals often complain Medicare payments are too small to begin with.
“I would not call a penalty even at the highest level to be an automatic strike and there’s a bunch of reasons for that,” Rau said. Variations from year to year of the pool of patients can change results. The doctor performing a procedure and the general reputation of a facility should also be considered, Rau said.“These two surgical hospitals have been recognized for high-quality patient care by various sources, including US News & World Report. It is important to note that readmissions not related to the surgical procedure performed are included in this calculation,” the statement said.
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