Experts are still studying the issue, but hospitals say Medicare must tweak how excess readmissions are measured to make sure penalties reflect quality, not demographics.
I read with great interest the recent Q&A “We're trying to build the business case for achieving health equity,” (April 25, p. 30), based on an interview with Cara James, Ph.D., director of the CMS' Office of Minority Health.
A bill introduced this week would allow cancer hospitals currently exempt from the Prospective Payment System to see no change in reimbursement despite a provision for site-neutral payments that was included in a budget agreement last year.
The bipartisan legislation put forward this week would also allow off-campus hospital outpatient departments currently under construction to continue receiving higher rates than similar facilities that aren't owned by hospitals.
Collaborative approaches to cutting readmission rates garnered by far the most votes in our reader survey on the most important efforts we've profiled in our regular Best Practices feature.
Margins on hospital Medicare business are expected to deteriorate this year, bottoming out at a negative 9% on average, according to a report by the commission that advises Congress on Medicare payments.
A not-for-profit group that works closely with the North Carolina Medicaid agency has developed a data-driven transitional-care program intended to connect the right patients with the resources that are most likely to work.
New CDC data show white women on average lived slightly shorter lives in 2014 compared to 2013. Most experts agreed it was a worrisome harbinger of what awaits other groups suffering the ill-effects of our increasingly unequal society.
Fostering a culture of transparency on performance measures is one of the key strategies used by the health systems that made this year's list of Truven Health Analytics' 15 Top Health Systems.
The CMS announced three payment rules that propose increased payments to skilled-nursing facilities, inpatient rehabilitation facilities and hospice care, and implemented new quality measures.
The CMS will test whether paying skilled-nursing facilities more will reduce avoidable hospital admissions among their long-term-care residents. Industry stakeholders say the move acknowledges the role of post-acute-care facilities in improving quality of care, something integral to the upcoming...
Socio-economic factors such as income, race, gender and age can predict whether a patient will be readmitted within 30 days of discharge from a hospital, according to a study.