Novato (Calif.) Community Hospital and Marin General Hospital in Greenbae, Calif., have partnered with the county of Marin to reduce hospital readmission rates under a new Advanced Care Transitions model, according to a Marin Independent Journal report.
The model was tested and created under the healthcare reform law and is the basis of 30 programs across the country. The model is expected to save Medicare more than $8 billion through 2019.
Under the model, the county will hire two nurses — one for each hospital — who will serve as a transition coach for patients with a higher risk of readmission, including those with heart failure, diabetes and other chronic conditions.
The model was tested and created under the healthcare reform law and is the basis of 30 programs across the country. The model is expected to save Medicare more than $8 billion through 2019.
Under the model, the county will hire two nurses — one for each hospital — who will serve as a transition coach for patients with a higher risk of readmission, including those with heart failure, diabetes and other chronic conditions.
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