Crains New York - April 1, 2013 - (Page 13)
H E A LT H C A R E
REPORT
INSIDE The Lists Top-paid hospital
executives and employees PAGE 16
‘We have to address how to keep
people out of hospitals’
—John Collura, SVP and CFO, Continuum Health Partners, Page 14
Avoiding
the high
cost of
readmits
With new penalties
in force, hospitals
find ways to keep
ex-patients healthy
BY GALE SCOTT
Every day, patients are readmitted to hospitals as a result of preventable missteps that take place
soon after being discharged.
Two real-life examples from
the annals of New York hospitals
illustrate the challenge: An 85year-old patient’s wife decides
that taking medicine “with food”
means mixing it with mashed potatoes. The patient won’t eat
them. Soon he’s back in the hospital that only days earlier had
discharged him.
Or an elderly woman with
heart disease is told before she
leaves the hospital to “watch” her
fluids, which she interprets to
mean not to drink water.Soon,she
too is back
in a health
care facility,
dehydratAMOUNT of
ed, hooked
forfeiture NYS
up to an IV.
facilities face
Historiunder the feds’
cally, health
Hospital
Readmissions
care organReduction Program
izations
have not
had a financial reason to care about
patients after sending them home.
After all, they make money when
patients stay, not when they leave
their facilities. But those days are
ending, with the result that hospitals are now focused on getting patients the care they
“There has been signeed after they leave.
THE ROAD TO
nificant difficulty for fiPatients who renancially challenged inturn as “avoidable
stitutions in gaining
readmissions” now
access to capital to retool
cost hospitals monfor federal reform,” said
ey. Under a federal
Kenneth Raske,president
reform program that
of the Greater New York
started in October,
Hospital Association, a
more than 2,200
hospital trade group. “We are now fachospitals nationwide will forfeit a
ing a very severe shortage of funds.”
total of $280 million in Medicare
Hospitals once relied on tax-free
funds for having too many pabonds, but the state, already on the
tients readmitted. New York hoshook for millions of dollars in hospipitals face more than $38 million
tal debt, isn’t looking to take on more.
in docked pay.
matt roussel
$38M
Hospitals face cash crunch
BY BARBARA BENSON
Money is in short supply at many New
York hospitals. But cash is what they
need now more than ever in order to
implement Obamacare.
That has created a dilemma with
no easy solution, especially after leg-
islation to infuse New York health
care with private capital failed to
make it into the state budget lawmakers were expected to pass last week.
The Affordable Care Act rewrites
the rules for how hospitals do business. It asks them to overhaul their
operations. As a result, they are morphing from bricks-and-mortar structures that take care of the sick to
providers who keep patients out of
hospitals by improving primary care.
They are also forming huge networks
that will be reimbursed very differently by Medicare, Medicaid and commercial insurers.
RED ALERT
Hospitals’ long-term debt
per licensed bed, 2009:
$238K
HEALTH
REFORM:
HOSPITALS
ᮢ
Facilities need money
for Obamacare, but
NY remains closed
to private capital
$141K
NYS median
NYC median
Source: Brooklyn Medicaid Redesign Team
Health Systems Redesign Work Group
See MONEY CRUNCH on Page 14
See EX-PATIENTS on Page 14
April 1, 2013 | Crain’s New York Business | 13
Table of Contents for the Digital Edition of Crains New York - April 1, 2013
IN THE BOROUGHS
IN THE MARKETS
THE INSIDER
BUSINESS PEOPLE
OPINION
BOB PREVIDI
GREG DAVID
REAL ESTATE DEALS
HEALTH CARE REPORT
CLASSIFIEDS
SMALL BUSINESS
NEW YORK, NEW YORK
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