Ironically, some of the newer value based initiatives, such as BPCI, along with changes to the post acute skilled nursing reimbursement, is actually decreasing

Ironically, some of the newer value based initiatives, such as BPCI, along with changes to the post acute skilled nursing reimbursement, is actually decreasing the amount of time and care some of these elderly could benefit from post operatively to enhance their recovery. If we allowed our elderly Medicare patients to go into a rehab unit for the amount of days they need, without requiring a 3 night hospital stay first, I wonder the impact this would have on morbidity and mortality, especially after minor operations.