Nonprofit hospitals admit they sent $2.7 billion in bills over the course of a year to patients who probably qualified for free or discounted care.
Starting today, Medicare is keeping half a billion dollars in payments from 83% of general hospitals for having too many patients come back.
Each year, Medicare punishes hospitals that have high rates of readmissions and high rates of infections and patient injuries. Check out which hospitals have been penalized.
Hospitals are eager to get particular specialists on staff because they bring in business that can be highly profitable. But those efforts, if they involve unusually high salaries or other enticements, can violate federal anti-kickback laws.
In its latest update to the Nursing Home Compare website, the government gave 1,638 homes its lowest star rating for staffing — one star on its five-star scale. Most were downgraded because payroll records reported no registered-nurse hours at all for at least four days.
Three-quarters of people urge action to keep patients from facing high medical costs when their insurance doesn’t cover the care, according to a Kaiser Family Foundation poll.
Bajo la administración actual, la multa promedio se redujo a $28,405, muy por debajo de los $41,260 en 2016, el último año en el cargo del presidente Barack Obama.
Inspectors are citing nursing facilities for violating health and safety more often than during the Obama administration. But the average fine is nearly a third lower than it was before President Donald Trump took office.
Details of the reductions have not yet been announced, but in 2017 Congress ordered mandated changes to make the military health system more efficient.
The penalties are part of a program set up by the Affordable Care Act to prompt hospitals to pay more attention to safety issues that can lead to injuries, such as falls or hospital-acquired infections.
Ski buff Sarah Witter will get $6,358.26 back from her hospital and insurer after a careful review of her bill following the KHN-NPR story on her case.
She took a bad fall on the slopes and her surgeon used a metal plate to put the splintered bones of her leg back together. When that device failed less than four months later, she and her insurer had to pay full price for the replacement plate.
An analysis of inspection records in California, Florida and Texas shows significant numbers of violations related to assisted living residents with dementia.
El gobierno federal reducirá los pagos de un año a casi 11,000 hogares cuyos pacientes vuelven al hospital con demasiada frecuencia.
The incentive program to discourage nursing homes from discharging patients too quickly will also give bonuses to facilities with fewer rehospitalizations.
Medicare instructs inspectors to look for staffing inadequacies in homes that report suspiciously low numbers of registered nurses and weekend workers.
Premiums are lower as choices increase in many parts of the country. But the financial relief is not enough to erase the price hikes that have been imposed in recent years.
Siguiendo órdenes del Congreso, Medicare está aliviando sus multas anuales por readmisión en cientos de hospitales que brindan servicios a residentes de bajos ingresos.
Penalties will total $566 million for all hospitals. But many that serve a large share of low-income patients will lose less money than they did in previous years.
Two-thirds of Americans worry about unexpectedly large bills from doctors, hospitals or other medical providers, a poll shows. Four in 10 have received one in the past year.