Medicare is penalizing 721 hospitals with high rates of potentially avoidable mistakes that can harm patients, known as “hospital-acquired conditions.” Penalized hospitals will have their Medicare payments reduced by 1 percent over the fiscal year that runs from October 2014 through September 2015. To determine penalties, Medicare evaluated three types of HACs. One is central-line associated bloodstream infections, or CLABSIs. The second is catheter-associated urinary tract infections, or CAUTIs. The final one, Serious Complications, is based on eight types of injuries, including blood clots, bed sores and falls. Here are the hospitals that are being penalized:
The 1 percent penalty, mandated by the health law, will hit one of every seven hospitals in the country and fall particularly hard on academic medical centers.
The data comes from the Centers for Disease Control and Prevention, which tracks six types of frequently occurring infections in hospitals as part of an effort to reduce them.
The government’s proposed rule addresses many concerns of accountable care organizations.
In counties that are adding at least one insurer next year, average premiums for the least expensive silver plan are rising 1 percent on average, compared to 7 percent in counties where the number of insurers is not changing, KHN analysis finds.
Among the tools: penalties for admitting patients too soon after they were discharged and a focus on reducing hospital-acquired infections.
KHN reporter Jordan Rau spoke on NPR about data that say about 75,000 patients per year die from infections they got in the hospital. Nearly 700 hospitals around the U.S. have higher than expected infection rates.
Each year about 75,000 patients die from infections they caught in the hospital. A KHN analysis of federal data shows that nearly 700 hospitals have higher than expected rates of infection for at least one condition.
An investigation by the HHS inspector general says beneficiaries getting the treatments at “critical access” hospitals pay between two and six times more than those at other hospitals.
Although fewer patients are now returning to the hospital within a month, the fines reached a record level this year.
The methodology behind KHN’s analysis of the third year of the Medicare penalty program.
A quarter of the nation’s hospitals are exempt from penalties, quality bonuses and other payment reforms.
About a quarter of the 243 groups of hospitals and doctors that banded together as accountable care organizations under the Affordable Care Act saved Medicare enough money to earn bonuses, the Centers for Medicare & Medicaid Services announced Tuesday. Those 64 ACOs earned a combined $445 million in bonuses, the agency said. Medicare saved $372 […]
This KHN story can be republished for free. (details) UPDATED AT 12:10 P.M. The federal government’s first survey of the nation’s insured rate since the health care law’s new marketplaces began found a decrease in the number of adults without coverage, particularly among young adults. The National Health Interview Survey of people during the first […]
One of Medicare’s attempts to improve medical quality –by rewarding or penalizing hospitals — did not lead to improvements in the first nine months of the program, a study has found. The quality program, known as Hospital Value-Based Purchasing, is a pillar of the federal health law’s campaign to use the government’s financial muscle to […]
BlueCross BlueShield’s near dominance and hospitals’ lack of negotiating clout are key reasons Chattanooga has among the lowest priced coverage in the nation.
The health law’s unpopularity among the public rose sharply in July with a surge of disapproval from people who had been agnostic about it in recent months, a poll released Friday shows. The law is as unpopular as it has been since it was enacted four years ago. The poll from the Kaiser Family Foundation […]
Chattanooga’s success in achieving bargain-priced policies offers valuable lessons for other parts of the country as they seek to satisfy consumers with insurance networks that limit their choices of doctors and hospitals.
Workers believe employer wellness programs should be all gain but no pain, according to a poll released Tuesday. The poll from the Kaiser Family Foundation found employees approve of corporate wellness programs when they offer perks, but recoil if the plans have punitive incentives such as higher premiums for those who do not take part. […]
The 1 percent cut in payments is the latest effort by the federal government to improve hospital care.