Over 20 Million Americans To Turn 80 This Decade

Now that 2020 has arrived, an overwhelming number of Americans will be reaching the age where high levels of personal care are needed.

Studies have shown that around the age of 80, individuals become notably frailer and health-related issues skyrocket.

The Forbes article below notes that over 77 million Americans will reach the age of 80 in the next five years. With this in mind, the article suggests that we, as a society, are unprepared to meet the impending demand for care.

High Readmissions Will Cost Hospitals

Too many readmissions within 30 days will cause CMS to penalize over 2,500 hospitals in 2020 according to a Kaiser Health News report.

These penalties are estimated to cost hospitals over $563 million over the year. Kaiser’s report notes that 83% of the 3,129 hospitals evaluated in the Hospital Readmission Reduction Program received a penalty, with the average penalty being a 0.71% decrease in payment for each Medicare patient leaving the hospital over the next year.

For more on this please see the full Kaiser Health News article below.

Post-Acute Shifts Focus From Volume To Value

Last week, the American Health Care Association and National Center for Assisted Living hosted the first Population Health Management Summit which focused primarily on how the healthcare landscape is shifting from volume to value.

Medicare Advantage plans, positioned to drive payment and delivery reform, are expected to become the dominant form of Medicare by the year 2025.

For more on this, please see the below Forbes article.

What If More Patients Were Sent Directly To Skilled Nursing Facilities?

Three health networks in Boston formed an accountable care organization (ACO) this year, the Beth Israel Lahey Performance Network (BILPN). This ACO sees an opportunity in sending patients directly to a skilled nursing facility (SNF) without requiring a three-day hospital stay.

BILPN’s three-day waiver program is meant to provide a path for patients who don’t necessarily meet the criteria to be admitted to the hospital but would benefit from care in a place better suited to address their needs.

For more on this please see the article below.