CMS: ICD-10 grace period ends October 1
Editor's Note The Centers for Medicare and Medicaid Services (CMS) on August 18 announced in its FAQ guidelines that the 1-year grace period for claims using the ICD-10 code set will end October 1. Healthcare organizations will be required to use the correct degree of specificity when coding claims. Unspecified…
Impact of race/ethnicity, socioeconomic status on readmission rates after total joints
Editor's Note The addition of race/ethnicity and socioeconomic status to the risk-adjusted algorithm for readmissions after total hips and knees used by the Centers for Medicare & Medicaid Services led to a relative-performance change in readmission rates of <3% of 1,194 hospitals in this study. Policy makers and payers should…
Physician-owned surgical hospitals performed better in VBP program
Editor's Note Medicare’s value-based purchasing (VBP) program revealed superior performance associated with physician owned surgical hospitals in this study. Researchers analyzed 3,089 hospitals that included physician-owned surgical, University HealthSystem Consortium, US News & World Report Honor Roll, Kaiser Permanente, and Accountable Care Organization hospitals. Estimated mean total performance scores were…
CMS issues final PPS rule for 2017
Editor's Note The Centers for Medicare & Medicaid Services on August 2 issued its final rule for the FY 2017 hospital inpatient prospective payment system (PPS), which increases rates by 0.95%. The 0.95% increase reflects the projected hospital market basket update of 2.7% for those hospitals that were meaningful users…
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…
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