Many hospitals, which are only beginning to make the transition to the realities of accountable care, are finding that some lessons are difficult to learn.

Case in point: Hospitals "love" applications from software vendor Sentrian that enable them to monitor chronically ill patients at home, contends Martin Kohn, MD, the company's chief medical scientist. They help them limit patient readmissions-and hospitals are on the hook for care costs when Medicare patients are readmitted within 30 days of discharge.

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