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You have also learned that Medicare is increasing the penalty rate from 3% to 6% and...

You have also learned that Medicare is increasing the penalty rate from 3% to 6% and the number of diagnoses from 3 to 6, beginning on January 1, 2019.

Your board of directors are extremely upset over the situation as they now fear the hospital is in serious financial jeopardy due to these readmissions issues.

In addition, the board of trustees is aware of the payment shift from fee-for-service billing to value-based care.

  1. How will you deal with the external issues within your hospital to address these two problems? (Some {but not all} of the questions you should be asking yourself are):
    1. What are the external issues as you see them?
    2. How do the external factors (over which you have no control) affect your hospital?

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