5 steps to bipartisan cuts in Medicare – and the deficit

Medicare is the single greatest contributor to long-term deficits. If Democrats and Republicans cooperate on waste-cutting ideas – many of which are backed by President Obama – both parties stand to gain. Here are five ways Congress should act.

2. Reduce return trips to the hospital

Nearly 1 in 5 Medicare patients who leaves a hospital is readmitted within 30 days, which costs Medicare $17.5 billion in 2010 alone. But most readmissions are preventable. The root causes are poor planning for patients when they return home and breakdowns between doctors and hospitals over who should follow up with patients. A better strategy would be for nurse case-managers in hospitals to prepare patients for discharge, connect them with follow-up care, and check in on them.

Medicare has already challenged hospitals to cut their readmission rates for heart-related illnesses by 20 percent in 2013. Expanding those efforts would accelerate savings and improve care.

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Dear Reader,

About a year ago, I happened upon this statement about the Monitor in the Harvard Business Review – under the charming heading of “do things that don’t interest you”:

“Many things that end up” being meaningful, writes social scientist Joseph Grenny, “have come from conference workshops, articles, or online videos that began as a chore and ended with an insight. My work in Kenya, for example, was heavily influenced by a Christian Science Monitor article I had forced myself to read 10 years earlier. Sometimes, we call things ‘boring’ simply because they lie outside the box we are currently in.”

If you were to come up with a punchline to a joke about the Monitor, that would probably be it. We’re seen as being global, fair, insightful, and perhaps a bit too earnest. We’re the bran muffin of journalism.

But you know what? We change lives. And I’m going to argue that we change lives precisely because we force open that too-small box that most human beings think they live in.

The Monitor is a peculiar little publication that’s hard for the world to figure out. We’re run by a church, but we’re not only for church members and we’re not about converting people. We’re known as being fair even as the world becomes as polarized as at any time since the newspaper’s founding in 1908.

We have a mission beyond circulation, we want to bridge divides. We’re about kicking down the door of thought everywhere and saying, “You are bigger and more capable than you realize. And we can prove it.”

If you’re looking for bran muffin journalism, you can subscribe to the Monitor for $15. You’ll get the Monitor Weekly magazine, the Monitor Daily email, and unlimited access to CSMonitor.com.

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