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.
Before assessing penalties, Medicare assesses rates of infection among patients with catheters in major veins and in the bladder and eight other patient injuries, such as blood clots, bed sores and accidental falls.
A bipartisan group of senators introduced legislation on Thursday to make Medicare take the financial status of hospital patients into account when deciding whether to punish a hospital for too many readmissions. The bill attempts to address one of the main complaints about the readmissions program: that hospitals serving large numbers of low-income patients are […]
An analysis released Thursday identified dozens of potentially avoidable hospital complications that are not being tracked by the government even though some occur frequently and are expensive to treat. Premier, Inc., a consulting company that works with hospitals on improving quality, analyzed 5.5 million patient records to identify 86 common complications that occurred in the […]
Medical overtreatment is the inverse of former Supreme Court Justice Potter Stewart’s definition of pornography: while easy to define in concept, it can be hard to know it when you see it. A treatment that is appropriate for one patient can also be unnecessary or even counterproductive for another, depending on the patient’s condition. This […]