Hospital readmission penalties reach new high
Editor's Note The Centers for Medicare and Medicaid’s (CMS) hospital readmission penalties will hit a new high over the next year as the government agency withholds more than half a million dollars in payments, the August 2 Kaiser Health News reports. CMS will punish more than half of US hospitals…
CMS finalizes cut to hospital reimbursement
Editor's Note The Centers for Medicare and Medicaid Services (CMS) on August 2 released its inpatient prospective payment system (PPS) final rule for FY 2017. In the rule, CMS kept a controversial 1.5% cut to hospital reimbursement, which aims to collect $11 billion in overpayments, the August 2 Modern Healthcare…
Many top hospitals fail Medicare’s quality star ratings
Editor's Note The Centers for Medicare & Medicaid (CMS) on July 27 released its Overall Hospital Quality Star Ratings of 3,617 hospitals. Only 102 received the top rating of five stars, and only a few of those are considered among the nation’s best, including Memorial Hermann Hospital System in Houston…
Mortality rates similar for safety-net, other hospitals
Editor's Note In a new study funded by the Agency for Healthcare Research and Quality (AHRQ), safety-net hospitals performed equally as well as other hospitals when evaluated according to medical-surgical mortality rates. Analyzing data from 1,891 hospitals in 31 states, researchers found that despite ongoing financial disadvantages, the quality of…
CMS publishes hospital star ratings
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on July 27 published its Overall Hospital Quality Star Ratings, the July 27 Modern Healthcare reports. The ratings, which are a composite metric of one to five stars, grade the quality of nearly 4,000 hospitals and are posted to the…
National healthcare spending projected through 2025
Editor's Note The growth in US healthcare spending from 2015 to 2025 is projected to average 5.8%--1.3% faster than growth in the gross domestic product, finds this study. Healthcare will represent 20.1% of the total economy by 2025. With the initial impact of the Affordable Care Act fading, growth in…
MACRA poses risks for physicians, patients
Editor's Note Implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) could threaten physicians’ autonomy in making decisions for their patients, provide burdensome levels of documentation, and pressure some solo and small practices to close, according to an analysis in the July 23 Medical Economics. MACRA also could contribute…
CMS to bundle payments for CABG, expand orthopedic program
Editor's Note The Centers for Medicare & Medicaid Services (CMS) will select 98 hospitals in metropolitan areas to take part in a 5-year mandatory program to test a bundled-payment model for myocardial infarction and coronary artery bypass graft (CABG) procedures, the July 25 Modern Healthcare reports. CMS will also expand…
Survey reveals challenges in implementing eCQMs
Editor's Note A survey by the Joint Commission, American Hospital Association, and Federation of American Hospitals, finds that Medicare's new Hospital Inpatient Quality Reporting program requirements for electronic clinical quality measures (eCQMs) are achievable, but organizations will need to address education, process, and technology hurdles to meet the deadline of…
CMS, FDA advocate for UDI use in insurance billing
Editor's Note The Centers for Medicare & Medicaid Services (CMS) and Food and Drug Administration (FDA) are recommending using unique device identifiers (UDIs) in universal health insurance claims forms to improve value-based reimbursement for medical devices and postmarket surveillance, the July 14 Modern Healthcare reports. Proponents say UDIs could help…
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