Sec. 101. Positive incentive for Medicare’s hospital readmissions reduction program
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Section 1886(q) of the Social Security Act ( 42 U.S.C. 1395ww(q) ) is amended by adding at the end the following new paragraph: With respect to payment for discharges occurring during a fiscal year beginning on or after October 1, 2014, in order to provide a positive incentive for hospitals described in subparagraph
(B)to lower their excess readmission ratios, the Secretary shall make an additional payment to a hospital in such proportion as provides for a sharing of the savings from such better-than-expected performance between the hospital and the program under this title. A hospital described in this subparagraph is an applicable hospital (as defined in paragraph (5)(C)) not subject to a payment change under paragraph
(1)and for which the positive readmission ratio (described in subparagraph (C)) is greater than 1. The positive readmission ratio described in this subparagraph for a hospital is the ratio of— the risk adjusted expected readmissions (described in subclause
(II)of paragraph (4)(C)(i)); to the risk adjusted readmissions based on actual readmissions (described in subclause
(I)of such paragraph). .
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Sec. 101
Positive incentive for Medicare’s hospital readmissions reduction program
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