Post-Acute Strategies for Reducing Readmissions

The healthcare system widely recognizes that lowering avoidable hospital readmission rates is a key factor in raising the quality of services and driving down costs. Medicare has identified 2,225 hospitals that will have payments reduced by up to 2% in 2014 because of high readmission rates.

We can help. Amedisys Integrated Health Solutions delivers post-acute care strategies for readmission avoidance.

What We Do

As a post-acute care provider to 2,200 hospitals and more than 61,900 physicians nationwide, Amedisys works to help hospitals reduce preventable readmissions. Our expertise includes:

Hospital-to-Home Care Transitions

The transition of care after hospital discharge can be one of the most high-risk times for a patient. Amedisys implemented the industry's first nationwide care transitions program to provide community-based health support and reduce risk during this crucial time.

Chronic Care Management

Improving patient outcomes and reducing healthcare costs starts with managing high-risk patients with multiple chronic conditions. Our chronic care programs coach patient compliance and help avoid complications.

Evidence-Based Post-Acute Care

We implement best-practice clinical protocols for care transitions, medication management, disease management and more, based on both third-party research and our own post-acute innovation.

Readmission Tracking & Audits

Our detailed reporting on patient outcomes enable an effective collaboration around readmission reduction.


Case Study: Reducing Heart Failure Readmissions by 13 Percentage Points in One Year

Monongahela Valley Hospital (MVH) is a 226-bed, full-service healthcare facility with a 22-member medical staff representing more than 40 specialties. With the enactment of the Affordable Care Act in 2010 and a heightened focus on reducing avoidable readmissions, MVH was prudent in preparing to tackle its heart failure readmission rate, which in 2010 was 27% - nearly three percentage points higher than the national average. The hospital turned to its post-acute care partners including Amedisys Home Health Care, Havencrest (a skilled nursing facility) and Residence at the Hilltop (a personal care home).

Integrating with post-acute care providers was mission critical. MVH realized that in order to ensure patients were following their care plan, connecting with their primary care physician, reconciling their medications and sticking to their diet, a care team needed to follow the patients home with skilled clinical care.

As a result, the MVH collaborative was able to reduce its heart failure readmissions rate from 27% to 14% in one year.


Download the Case Study: Reducing Heart Failure
Readmissions 13 Points in One Year »

Learn More

Care Transitions

Implementing Care Transitions »

Amedisys’ home health care transitions model integrates with hospitals - without changing your operating model - to help bridge the transition from hospital to home and avoid preventable readmissions.

Home Health and Health Care Reform

New Models of Care Under the Affordable Care Act »

Advanced home health care providers are well equipped to partner with hospitals to deliver the high-value coordinated health care coordination that the Affordable Care Act requires.

Medicare Reductions in Rehospitalizations Associated with Home Health

Reduced Rehospitalizations Associated with Home Health »

A study of patients with heart failure, COPD or diabetes finds home health is associated with tens of thousands of prevented rehospitalizations and billions in savings.

Hospital Readmission Reduction Strategies

Insights from a survey of hospital executives on how they're reducing readmissions.

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