HOSPITALS AND HEALTH SYSTEMS
The discharge isn’t the end of the episode. It’s where readmissions begin.
ColigoMed predicts which patients are likely to return, then keeps them in high-touch care at home: transitional care, remote monitoring and a nurse who calls.
78%
of hospitals in the program were penalized in FY2026, about 2,300
Up to 3%
of base Medicare inpatient payments at risk each year
8% fewer readmissions
across a cohort of 1,000 discharged patients, with high-risk patients kept in high-touch care programs
Sources: CMS Hospital Readmissions Reduction Program, FY2026. Readmission result: ColigoMed program data.
THE PROGRAM
From the discharge order to day 30, and beyond.
- AT DISCHARGEPredict risk Every discharged patient is scored for readmission risk from your EMR data.
- FIRST 2 BUSINESS DAYSReach out A nurse contacts the patient, reconciles medications and books the follow-up visit.
- DAYS 1–30Monitor at home High-risk patients get connected devices; AI flags warning signs for the care team.
- AFTER DAY 30Stay connected Patients with chronic conditions move into ongoing care management with their physicians.
Focused on the conditions Medicare measures.
The readmission program measures six conditions and procedures. ColigoMed’s pathways start where your penalty exposure is highest.
- Heart failure
- Acute myocardial infarction
- Pneumonia
- COPD
- Coronary artery bypass graft
- Elective hip and knee replacement
“This is the care-coordination solution we’ve hoped would be available for suburban and rural hospitals.”
Community health board member and retired hospital CEO