Health Affairs: Unintended Consequences of the PPACA Could Threaten Care for Medicare Patients
Specifically, the report addresses the Hospital Readmissions Reduction Program, the National Pilot Program on Payment Bundling and the Community-Based Care Transitions Program, all parts of the PPACA. These provisions inadequately address the unique needs among the Medicare population and, in some instances, produce unintended consequences that may attribute to poor outcomes, according to the report.
Here are concerns the report addresses.
- The Hospital Readmission Reduction Program, which was designed to provide incentives for improvements in outcomes, could drive hospitals to limit access to frail older adults who have a higher chance of being readmitted.
- The National Pilot Program on Payment Bundling, designed to motivate providers to deliver low-cost care and avoid expensive post-acute stays, excludes long-term services and support as part of the "bundle." Providers may withhold services to some long-term Medicare patients past the bundled payment period to realize savings.
- Community-based care transitions, intended to link community-based organizations with hospitals to improve outcomes and reduce readmissions, may not be in the geographic region to serve some Medicare patients who might otherwise benefit from the transition services.
Report: ACOs Don't Hinge on Supreme Court's Healthcare Law Ruling
More Articles Related to the PPACA:
Study: PPACA Opponents Get More Media Coverage Than Supporters
Healthcare Reform Law Expands Community Health Centers
© Copyright ASC COMMUNICATIONS 2015. Interested in LINKING to or REPRINTING this content? View our policies by clicking here.
To receive the latest hospital and health system business and legal news and analysis from Becker's Hospital Review, sign-up for the free Becker's Hospital Review E-weekly by clicking here.