/* mobile /* end mobile MEDDESKTOP: Rehospitalizations among Medicare beneficiaries are prevalent and costly.

Thursday, April 02, 2009

Rehospitalizations among Medicare beneficiaries are prevalent and costly.

Quantity VS Quality In Medicare Fee-for-Service Program,
According to a study conducted by researchers (
Stephen F. Jencks, M.D., M.P.H., Mark V. Williams, M.D., and Eric A. Coleman, M.D., M.P.H.) regarding Reducing rates of rehospitalization has shown that hospitals go for Quantity vs Quality (they prefer quantity) because Medicare pays the same for each hospital stay.
The Researchers went through the medical records from 2003-2004 and the following abstracted results does not give g good picture. (Link to complete publication by New England Journal of Medicine at the end of the post). The cost of unplanned visits was 17.4 Billion in 2004.
"
Almost one fifth (19.6%) of the 11,855,702 Medicare beneficiaries who had been discharged from a hospital were rehospitalized within 30 days, and 34.0% were rehospitalized within 90 days; 67.1% of patients who had been discharged with medical conditions and 51.5% of those who had been discharged after surgical procedures were rehospitalized or died within the first year after discharge. In the case of 50.2% of the patients who were rehospitalized within 30 days after a medical discharge to the community, there was no bill for a visit to a physician's office between the time of discharge and rehospitalization. Among patients who were rehospitalized within 30 days after a surgical discharge, 70.5% were rehospitalized for a medical condition. We estimate that about 10% of rehospitalizations were likely to have been planned. The average stay of rehospitalized patients was 0.6 day longer than that of patients in the same diagnosis-related group whose most recent hospitalization had been at least 6 months previously. We estimate that the cost to Medicare of unplanned rehospitalizations in 2004 was $17.4 billion."

New England Journal of Medicine

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