On October 1st Medicare started to penalize hospitals for patients who are readmitted into the hospital within 30 days of discharge for the same diagnosis. This is initially designed to curb the percentage of Medicare patients who are routinely readmitted for three primary conditions; heart failure (24.7%), heart attack (19.7%) and pneumonia (18.5%). The healthcare industry is tracking all diagnosis readmissions, and bracing for other diagnosis to be added to the penalty list.
There’s no doubt serious issues will arise within this new accountable care environment, one being that some hospitals are choosing not to officially “admit” Medicare patients, instead classifying them as “under observation”. Unfortunately, to the patient there is no clear indication they are just under observation, and many older adults have found themselves with large bills for post-acute rehabilitation stays because since they were never officially admitted to the hospital they are not eligible to receive Medicare reimbursement for rehab services. Be aware and ask for clarification of the satus of any hospital stay.
On the positive side, this is quite simply the biggest boost to the business case for prevention and wellness promotion that I’ve seen in the 20+ years I’ve been in the field of older adult wellness. For the past 5 years I’ve been advocating for senior living to take a leading role in changing the way people view and experience aging. And this is a golden invitation for senior living to become the champions of recovery, re-claiming vitality after a health crisis, and reframing possibilities – regardless of challenges. All the pieces and parts are there – it’s just a matter of claiming that “space” in the healthcare continuum.
I'm happy to report that the fight against ageism got both a boost and a spotlight last week! I recently co-wrote a chapter titled, Media Portrayal of Ageing, for a book published by the Global Council on Ageing. The book, Global Ageing, Peril or Promise?, was launched at the Global Economic Summit in Davos, Switzerland on January 26th, and Margaret Chan, Director-General of the World Health Organization called it a "must read".
See below (News & Updates) to download a pdf of the whole book or download the chapter Media Portrayal of Ageing. The chapter explores how ageism got a foothold in society and how media and marketing images reinforce negative stereotypes that influence health beliefs and behaviors. It also offers some practical solutions for confronting and re-scripting the negative story of aging.