Everybody remember this legendary reply in the movie « Terminator”.
But what if the reply stands in the mouth of a Medicare enrolee being just discharged from a hospital stay?
These words are really frightening the federal administration.
According to a study published by the New England Journal of Medicine, 20 percent of patients could have pronounced leaving the hospital the same three scaring words as Schwartzy pronounced when leaving the police station.
With the new ACO (Accountable Care Organisations) hospitals could be held reliable from what happens to their patient after their discharge. In this model of health management some hospitals will employ primary care practitioners or nurses to follow the discharged patient when returning at home. Medicare could pay a single fee per patient to cover all the cares which are undertaken in and outside the four wall of the hospital.
Meanwhile Medicare think to penalize hospitals that present high readmission rates within the 30 days following discharge.