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1. Share of Cost, California’s Hospital Fair Pricing Act Reduced The Prices Actually Paid By Uninsured Patients Share of Cost, California's Hospital Fair Pricing Act Reduced The Prices Actually Paid By Uninsured Patients...
2. Share of Cost, Medicare’s New Hospital Value Based Purchasing Program is Likely to Have Only a Small Impact on Hospital Payments Share of Cost, Medicare's New Hospital Value Based Purchasing Program is Likely to Have Only a Small Impact on Hospital Payments ...
3. Share of Cost, New Rules to Require Equal Visitation Rights for All Hospital Patients Share of Cost, New Rules to Require Equal Visitation Rights for All Hospital Patients: The Centers for Medicare & Medicaid Services has issued new rules for Medicare- and Medicaid-participating hospitals that protect patients’ right to choose their own visitors during a hospital stay, including a visitor who is a same-sex domestic partner.  The rules require hospitals […]...
4. Share of Cost, Innovations At Miami Practice Show Promise For Treating High-Risk Medicare Patients Share of Cost, Innovations At Miami Practice Show Promise For Treating High-Risk Medicare Patients ...
5. Share of Cost: First, do no harm to the bottom line California customers of health insurer Blue Shield should brace themselves for more sticker shock — the independent non-profit licensee of the national Blue Cross/Blue Shield association is planning to raise premiums by nearly 60 percent for some customers effective March 1. According to Duke Hefland of the Los Angeles Times, the company said 193,000 customers […]...
6. Medicare’s Policy Not To Pay For Treating Hospital-Acquired Conditions: The Impact In 2008 Medicare stopped reimbursing hospitals for treating eight avoidable hospital-acquired conditions. Using 2006 California data, we modeled the financial impact of this policy on six such conditions. Hospital-acquired conditions were present in 0.11 percent of acute inpatient Medicare discharges; only 3 percent of these were affected by the policy. Payment reductions were negligible (0.001 […]...
7. Accountable Care Organizations: The Case For Flexible Partnerships Between Health Plans And Providers Under the Affordable Care Act, the new Center for Medicare and Medicaid Innovation will guide a number of experimental programs in health care payment and delivery. Among the most ambitious of the reform models is the accountable care organization (ACO), which will offer providers economic rewards if they can reduce Medicare’s cost growth in their […]...
8. Hospital Pay-For-Performance Programs In Maryland Produced Strong Results Hospital Pay-For-Performance Programs In Maryland Produced Strong Results...
9. The Lessons of Medicare’s Prospective Payment System Show That the Bundled Payment Program Faces Challenges Policy makers have been trying to replace Medicare’s fee-for-service payment system for years with approaches that pay one price for an aggregation of services. The intent is to reward providers for offering needed care in the most appropriate and cost-effective manner. Medicare’s first payment change designed to accomplish such a change was the hospital prospective […]...
10. Share of Cost, Call For Hospitals To Establish Drug, Alcohol Tests For Physicians Share of Cost, Call For Hospitals To Establish Drug, Alcohol Tests For Physicians...
11. Low-Cost Transitional Care Phone Contact With Patients Cut Rehospitalization At A VA Hospital Low-Cost Transitional Care Phone Contact With Patients Cut Rehospitalization At A VA Hospital...
12. ACA Proposed Regulations Give State Medicaid Programs More Flexibility on Setting Cost-Sharing Amounts On January 14, Health and Human Services (HHS) Secretary Kathleen Sebelius released a proposed rule related to the Medicaid expansion brought on by the Affordable Care Act. The proposed rule gives states more flexibility when operating their Medicaid programs, particularly around cost-sharing. Below are excerpts from a brief summary on this rule prepared by the […]...
13. Share of Cost, Medicare Center of Excellence Policy may limit minority access to weight-loss surgery Share of Cost, Medicare Center of Excellence Policy may limit minority access to weight-loss surgery...
14. Regulator Takes Enforcement Action Against East Sussex Hospitals NHS Trust For Failing To Protect Safety And Welfare Of People, UK The Care Quality Commission (CQC) has taken enforcement action against East Sussex Hospitals NHS Trust because it has failed to protect the safety and welfare of people who use its service. The enforcement action is in the form of a Warning Notice which requires the trust to make urgent improvement to patient care. In February […]...
15. Share of Cost, It is Illegal to Use Part D Drug Copayment Coupons Share of Cost, It is Illegal to Use Part D Drug Copayment Coupons...