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CMS instead wants to establish set payment amounts, indicating the bid process lacks competition, and therefore, price incentives.
Contradictory results between how patients view home health agencies and how the government rates them are hardly unusual. One in five agencies had clinical and patient ratings that differed by two stars or more, a Kaiser Health News analysis of government records shows.
More women with breast cancer -- and an increasing number without -- are choosing to have mastectomies over more breast-sparing procedures. And nearly half don't spend a single night in the hospital but go home the same day, new government data show.
St. Clair Hospital in Pittsburgh and Experian Health, the healthcare-focused business branch of Experian, announced a new online cost transparency tool Monday called Patient Estimates that will make it easier for patients to get a clear picture of what their out-of-pocket financial obligations will be for services at the Hospital or it's outpatient centers.
Tenet Healthcare Corporation has offered to pay $238 million to resolve a False Claims Act lawsuit alleging that it received kickbacks for maternity referrals by four of its Georgia hospitals, the company revealed Monday in its fourth-quarter and full-year financial results reported to the Securities and Exchange Commission.
About 500,000 women give birth each year in rural hospitals, yet access to labor and delivery units has been declining. Comprehensive figures are spotty, but an analysis of 306 rural hospitals in nine states with large rural populations found that 7.2 percent closed their obstetrics units between 2010 and 2014.
The Centers for Medicare and Medicaid Services has extended the moratorium on home health agencies and ambulance services operating in six metro areas to reduce the risk of fraud, waste and abuse, CMS said.
Pain care for patients already taking opioids can be improved by bringing together multiple non-opioid treatment strategies during hospitalization, a new study has found.
The owner of Alpha Diagnostics in Maryland has been convicted of bilking Medicare and Medicaid of more than $7.5 million in a fraud case authorities say resulted in the death of two patients because their radiology tests were not interpreted by a qualified radiologist.
The Centers for Medicare and Medicaid Services on Friday released proposed changes for the Medicare Advantage and Part D prescription drug programs for 2017, including an increase in the net payment rate for Medicare Advantage of 1.35 percent, CMS said.