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Legislation Would Factor Patient Finances into Readmission Penalities
The Senate introduced legislation this week that would require Medicare to consider patients' finances when deciding whether to punish a hospital for readmission numbers.
The Senate introduced legislation this week that would require Medicare to consider patients' finances when deciding whether to punish a hospital for readmission numbers.
The bill, sponsored by both Democrats and Republicans, aims to help hospitals that serve large numbers of low-income patients. It does not specify how to revise the penalty program--leaving it up to Medicare.
The program will put up to 3 percent of a hospital's Medicare payments at risk and expand the number of conditions it bases the assessment on to include chronic obstructive pulmonary disease, and total hip and knee replacements, according to Kaiser Health News.
Read the full story here: http://bit.ly/1rnAfWK
Source: Fierce Healthcare
Managed Care Reflections: A Q&A With A. Mark Fendrick, MD, and Michael E. Chernew, PhD
December 2nd 2025To mark the 30th anniversary of The American Journal of Managed Care (AJMC), each issue in 2025 includes a special feature: reflections from a thought leader on what has changed—and what has not—over the past 3 decades and what’s next for managed care. The December issue features a conversation with AJMC Co–Editors in Chief A. Mark Fendrick, MD, director of the Center for Value-Based Insurance Design and a professor at the University of Michigan in Ann Arbor; and Michael E. Chernew, PhD, the Leonard D. Schaeffer Professor of Health Care Policy and the director of the Healthcare Markets and Regulation Lab at Harvard Medical School in Boston, Massachusetts.
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