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Medicare Revises Readmissions Penalties - Again
In its effort to crack down on repeat hospitalizations, Medicare has its own readmission: for the second time in six months, it has erred in calculating penalties for more than 1,000 of the nation’s hospitals.
As a result, Medicare has slightly lessened its readmissions penalties for 1,246 hospitals as part of its new program pressuring hospitals to ensure patients stay healthy health after they leave. St. Claire Regional Medical Center in Morehead, Ky., is seeing its penalty drop the most, from 0.93 percent to 0.72 percent of every payment Medicare makes for a patient during the fiscal year that ends in September, according to a Kaiser Health News analysis of the new data, which Medicare published on its website. Medicare also modestly increased the penalties for 226 hospitals. LaSalle General Hospital in Jena, La., will see its penalty grow by the greatest percentage. LaSalle will lose 0.84 percent of each Medicare payment per patient, instead of the 0.65 percent reduction Medicare previously announced.
Read the full story: http://bit.ly/WJY0NJ
Source: Kaiser Health News
What's at Stake as Oral Arguments Are Presented in the Braidwood Case? Q&A With Richard Hughes IV
April 21st 2025Richard Hughes IV, JD, MPH, spoke about the upcoming oral arguments to be presented to the Supreme Court regarding the Braidwood case, which would determine how preventive services are guaranteed insurance coverage.
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Varied Access: The Pharmacogenetic Testing Coverage Divide
February 18th 2025On this episode of Managed Care Cast, we speak with the author of a study published in the February 2025 issue of The American Journal of Managed Care® to uncover significant differences in coverage decisions for pharmacogenetic tests across major US health insurers.
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Comparing Breast Cancer Treatment Outcomes Between Fee-for-Service and Medicare Advantage
April 4th 2025This study examined postdiagnosis breast cancer treatment outcomes for Medicare Advantage vs fee-for-service (FFS) Medicare in Ohio and found no significant differences overall but disparities for Black patients with FFS Medicare.
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