Unnessary Hospial Re-Adimissions

A Serious problem we've been hearing about lately is that hospitals are dicharging older patients without any followup or "transitional services.
One out of five Medicare beneficiaries is readmitted within 30 days of discharge and one out every three within 8-90 days--often because of poor communication between patients, care givers and health proveders.
We need a benefit in Medicare to help people safely transision to home or another setting to prevent costly and unecessary hospital readmissions.