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Are Medicare's New Quality Incentives Large Enough To Change Hospital Behavior?
With Medicare poised next month to give bonuses and penalties to hospitals based on how they ranked in quality standards, a number of health policy experts are questioning whether the amounts of money at stake are large enough to make a difference.
based on how well they score
In October, Medicare will begin withholding 1 percent of hospitals' reimbursements under the new Value-Based Purchasing program created by the health care law. The money, $850 million in the first year, will instead be doled out to hospitals on patient experience surveys and whether they followed a number of basic clinical guidelines in providing care.
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Source: Kasier Health News
Stuck in Prior Auth Purgatory: The Hidden Costs of Health Care Delays
June 19th 2025Delays, denials, and endless paperwork—prior authorization isn’t just a headache for providers; it’s a barrier for patients who need timely care, explains Colin Banas, MD, MHA, chief medical officer with DrFirst.
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From Red Tape to Relief: Rewriting the Rules of Prior Authorization
June 23rd 2025Up to 257 million Americans could benefit from these prior authorization reforms that could have cross-market implications on health care plans administered through commercial insurers, Medicare Advantage, and Medicaid.
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Many Patients Stop GLP-1s Before Reaching Target Dose: Hamlet Gasoyan, PhD
June 19th 2025Discontinuing the weight loss treatment before hitting the recommended maintenance dose contributes to low-value care despite provider follow-up and efforts to manage side effects, says Hamlet Gasoyan, PhD, Cleveland Clinic.
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