Medicare & Medicaid
Mayhew will oversee the federal program as waivers for work requirements reduce the number of beneficiaries.
CMS promotes MA's supplemental benefits as consumers increasingly choose private coverage versus government insurance.
The use of preoperative beta blockers, tobacco use, and surgical site infections were independent predictors of readmission within 30 days, but day of discharge was not.
CMS takes credit for introducing waivers and a reinsurance program for insurers to submit high-cost claims into a risk pool.
No hospital in the state will be penalized the maximum allowable 3 percent, but nine will be hit with 1 percent or more.
The top three clinical episodes selected are major joint replacement of the lower extremity, congestive heart failure, and sepsis.
Hospital margins of 10 percent and greater are the result of insurers paying too much, study says.
The value-based agreement will reimburse physicians based on patient outcomes.
CMS will now post new performance information on their website, including quality-of-care deficiency findings, and will refine the process for gauging an AOs ability to assess compliance.
Financial penalties for readmissions are mandated by the Hospital Readmission Reduction Program, a part of the Affordable Care Act.