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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
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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