Medicare & Medicaid
Avoidable readmissions within 30 days of initial discharge are estimated to cost Medicare more than $17 billion annually.
With the Quality Payment Program under MACRA set to begin on January 1, 2017, CMS is offering clinicians four options to comply and avoid a negative payment adjustment in 2019.
Across the board, hospitals earned more if they were in a state where more people had coverage and saw declines in the level of uncompensated care.
Leaders from the House Ways and Means Committee and the House Energy and Commerce said healthcare providers need more time.
Patient advocates have argued that follow-up colonoscopies should be provided without cost sharing by patients; awareness can help patients prepare for facility fees.
Legislation also would require the nation's first minimum nurse-to patient staffing ratios in observation care units.
Since 2012, over 400 Medicare ACOs generated more than $1.29 billion in savings with 125 qualifying for shared savings payments.
Hospitals and former parent company admitted to knowingly and grossly exceeding 60-day repayment rule for Medicaid overpayments.
New research suggests a path forward that could save money while also improving patients' health.
Top among them was NewYork-Presbyterian Hospital, which received $16 million.