Joint Commission: Additional changes made to elements of performance
Editor's Note The Joint Commission announced on August 15 that additional changes will be made to elements of performance (EPs) in the Nursing and Provision of Care, Treatment, and Services chapters of the accreditation manuals for critical access hospitals and deemed-status hospital programs, effective January 1, 2019. The Centers for…
Academic medical centers trailing on cost, quality measures
Editor's Note A new study by consultancy firm Navigant found that academic medical centers are trailing community hospitals across cost and quality measures. Among the findings: Cost per case was 5.8% higher at medical centers, equating to $3.1 million added annual operating expense per center. Cost per case disparity between high…
CMS requires hospitals to post prices online
Editor's Note Part of the Centers for Medicare and Medicaid Services (CMS) final Hospital Inpatient Prospective Payment System and Long-Term Care Hospital Prospective Payment System rule for FY 2019, issued August 2, was a requirement that hospitals post the prices they charge for surgeries and other medical procedures online. The…
CMS: Changes in IPPS, LTCH PPS final rule empower patients, reduce administrative burden
Editor's Note On August 2, the Centers for Medicare & Medicaid Services (CMS) finalized its Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) rule for FY 2019. The rule will empower patients and advance the White House “MyHealthData” initiative and the CMS “Patients…
CMS releases outpatient prospective payment rule
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on July 25 released its 2019 outpatient prospective payment rule, which includes cutting payments for hospital outpatient clinic visits as part of a site neutral payment policy. CMS estimated this would save patients about $150 in lower copayments for clinic…
CMS proposes changes to modernize Medicare, restore physician-patient relationship
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on July 12 issued a proposed rule that includes updated payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule on or after January 1, 2019. Physician fee schedule rates will be updated by…
Study: CMS policy on CLABSI, CAUTI has minimal effect on reimbursement
Editor's Note This study found that the Centers for Medicare & Medicaid Services (CMS) hospital-acquired conditions policy on central line-associated bloodstream infections (CLABSI) and catheter-associated urinary tract infections (CAUTI) had minimal financial effects on hospitals because billing codes for CLABSI and CAUTI were rarely used and there was a significant…
CMS extends deadline for new alternative bundled payment model
Editor's Note The Centers for Medicare & Medicaid Services (CMS) announced that it is extending the deadline for its new alternative bundled payment model from August 1 to August 8, the July 5 Modern Healthcare reports. CMS extended the deadline after receiving complaints from providers and hospitals that they weren’t…
CMS delays release of Hospital Quality Star Ratings
Editor's Note The Centers for Medicare & Medicaid Services (CMS) announced on June 12 that it would postpone the planned July update to its overall Hospital Quality Star Ratings. CMS says the delay will allow time for more analysis of the effects of changes made to some of the measures…
San Diego hospital in ‘Immediate Jeopardy’ for dirty surgical equipment
Editor's Note After a routine survey, the California Department of Public Health (CDPH) declared “Immediate Jeopardy” at UC San Diego’s Hillcrest campus because of cleaning issues with its surgical equipment, the June 8 10News reports. A CDPH report says that deficiencies found included: trays of surgical equipment with brown stains…
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