Now's the time to strengthen your relationships with hospitals, thanks to the payment change taking effect Oct. 1. Starting next month, hospitals' DRG payments could be reduced up to 1 percent by their readmissions, notes consulting firm BKD. That re-duction will increase to 2 percent in fiscal year 2014 and 4 percent the year after. Right now the reductions will affect three DRGs: Acute Myocardial Infarction, Heart Failure, and Pneumonia. The conditions affected will expand to Chronic Obstructive Pulmonary Disease, Coronary Artery Bypass Graft, Percutaneous Transluminal Coronary Angioplasty, and Other Vascular Conditions in 2015, BKD adds. CMS expects to strip about $260 million from nearly 2,000 hospitals' payments in 2013, BKD notes. Hospitals looking to improve their readmission rates may be eager to work with post-acute care providers like HHAs to do so, the consulting firm advises.