Infographic: Medicaid Readmission Rates

Friday, February 19th, 2016
This post was written by Melanie Matthews

Many hospitals are working hard to lower readmissions among Medicare patients. But another patient group—adults covered by Medicaid—have readmission rates that are just as high, or even higher, than Medicare patients, according to 2012 data from AHRQ, illustrated in a new infographic.

The infographic compares 30-day readmission rates for Medicare and Medicaid patients for acute myocardial infarction, congestive heart failure, pneumonia, and hip and knee replacement.

Asked by its C-suite to quantify contributions of its multidisciplinary care team for its highest-risk patients, AltaMed Health Services Corporation readily identified seven key performance metrics associated with the team. Having demonstrated the team’s bottom line impact on specialty costs, emergency room visits, and HEDIS® measures, among other areas, the largest independent federally qualified community health center (FQHC) was granted additional staff to expand care management for its safety net population.

Care Coordination of Highest-Risk Patients: Business Case for Managing Complex Populations chronicles AltaMed’s four-phase rollout of care coordination for dual eligibles—a population with higher hospitalization and utilization and care costs twice those of any other population served by AltaMed.

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