Medicare penalties won't hit county's hospitals
JANESVILLE--Wisconsin hospitals—including all in Rock County—fared well in a new performance review and will be fully reimbursed for their Medicare services.
The provision, enacted under the Affordable Care Act, penalizes hospitals for excessive Medicare readmissions for three medical conditions: heart attacks, heart failure and pneumonia.
The maximum amount a hospital can be penalized is 1 percent of its Medicare payments.
That will increase to 2 percent in 2013 and 3 percent in 2014. The penalty focuses on patients who return to a hospital within 30 days of their discharge because of complications.
The penalties are part of a broad push under President Barack Obama’s health care law to improve quality while also trying to save taxpayers money.
Starting Oct. 1, about two-thirds of the hospitals serving Medicare patients—some 2,200 facilities nationwide—will be hit with penalties averaging around $125,000 per facility, according to government estimates.
In Wisconsin, the government looked at the readmission records of 65 hospitals. Sixty percent will face no penalty, while 40 percent will face penalties ranging from 0.01 percent to 0.49 percent.
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