CHA News Article

OIG Issues Report on Hospitalization Rates for Nursing Home Residents

The Department of Health and Human Services’ Office of Inspector General (OIG) has issued a report reviewing hospital admission rates for Medicare beneficiaries who live in nursing homes. According to the OIG, nursing homes transferred one-quarter of their Medicare residents to hospitals for inpatient admissions in fiscal year 2011, costing $14.3 billion.

Based on the results, the OIG recommended that the Centers for Medicare & Medicaid Services (CMS) develop a quality measure to capture the rate of nursing home residents who are hospitalized, and instruct state survey agencies to review the proposed quality measure as part of the survey and certification process. CMS agreed with the recommendation.

A copy of the OIG report is attached below.