HCA to revise Medicaid readmissions payment policy

WSHA and member hospitals are participating a stakeholder group, along with the Medicaid managed care organizations (MCOs) to discuss HCA’s plan to revise its payment policy for potentially preventable hospital readmissions. HCA plans to return to a policy where readmissions within 14 days of a hospital discharge can be individually reviewed and denied if determined to be a provider preventable admission. While HCA’s latest draft is an improvement from the initial draft and includes some recommendations from WSHA and member hospitals, we still have significant concerns. Read more in Fiscal Watch.