The United States health care system can be somewhat complicated and often have some barriers or limitations to care. For these reasons, the Affordable Care Act (ACA) “established the Hospitals Readmission Reduction Program (HRRP). The HRRP requires hospitals to collect and report the percentage of patients readmitted within 30 days after discharge on predetermined medical diagnoses. It is believed that …lack of coordinated care transitions lead to high 30-day Act (ACA) has accelerated the transition from fee-for-service reimbursement models to payment models that reward providers for better outcomes and efficient delivery of care. Patients diagnosed with stroke for instance as Mr. MJ, have higher than average healthcare utilization rates, making the management of their care particularly vital, yet complicated. Furthermore, a Health Affairs policy brief found that the lack of coordinated care is costly and created $25 to $45 billion in wasteful spending through avoidable complications and unnecessary hospital readmissions. The Centers for Medicare & Medicaid Services “track 30-day readmission rates for … project is public awareness and patient education to avoid unnecessary hospitalization. Following up regularly with the patient/caretaker to ensure the patient’s needs are being met and to identify any changes to the patient’s circumstances. Changes in legislation needs to be made in order for us to move on and be a safer nation
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