1. re-defining "admission" as "observation": Many Medicare patients are placed under “observation status’’ when they arrive at a hospital. That means they are considered outpatients and are not formally admitted, even if they are given a bed. As a result, “the ratio of observation use to inpatient stays per 1,000 beneficiaries increased by 94 percent.” (link here)
2. Hospitals are offering (better?) alternatives to hospital re-admission, e.g.,
"...we created a triage clinic--essentially a "walk-in" clinic for our patient population to be seen with any urgent issue after discharge. This has cut down on both ED visits and re-admissions."