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What We're Reading: CMS Penalizes 758 Hospitals Over Patient Safety
What we're reading, December 11, 2015: CMS penalized hospitals for patient safety deficiences; MedPAC approved reducing Medicare Advantage plan reimbursement; and Kentuckians favor keeping Medicaid expansion.
More than 750 hospitals were penalized for higher rates of patient safety incidents, according to data from CMS. Kaiser Health News reported that more than half of the 758 hospitals penalized were also fined last year and some well-known institutions, such as Stanford Health Care, Denver Health Medical Center, and 2 hospitals run by the Mayo Clinic Health System, are being punished for the first time. Medicare payments to penalized hospitals will be reduced by 1% over the course of the year.
Meanwhile, Medicare Advantage plan reimbursement will be reduced by at least $200 million. The Medicare Payment Advisory Commission supports Congressional legislation that would allow the HHS secretary to eliminate benchmark caps and the “double bonuses” now available to plans, reported Modern Healthcare.
Medicaid expansion in the state of Kentucky may not be going anywhere if residents have a say. A poll from the Kaiser Family Foundation found that although the state’s new governor, Republican Matt Bevin, opposes the Affordable Care Act and has called for reversing Medicaid expansion, 7 in 10 residents want the program to stay as it is. According to The New York Times, even a majority of Republicans said they would prefer not to scale back Medicaid to cover fewer people.
Review Emphasizes Potential Infection Risks With BTK Inhibitors
November 2nd 2024Although Bruton tyrosine kinase (BTK) inhibitor monotherapy in chronic lymphocytic leukemia (CLL) has been a game-changer, patients have significantly increased risks of infection, especially in the upper respiratory tract.
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Exploring Racial, Ethnic Disparities in Cancer Care Prior Authorization Decisions
October 24th 2024On this episode of Managed Care Cast, we're talking with the author of a study published in the October 2024 issue of The American Journal of Managed Care® that explored prior authorization decisions in cancer care by race and ethnicity for commercially insured patients.
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PAH Treatment Outcomes Similar Regardless of Diagnosis Time
November 1st 2024The study findings underscore the importance of early initiation of macitentan and tadalafil among patients who have pulmonary arterial hypertension (PAH), and represent a shift in understanding of prognosis based on diagnosis timing.
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