Billing data just released by the Medicare program has reinforced the wide disparity in what hospitals charge for their services--in this case, joint replacement surgery.
The Centers for Medicare & Medicaid Services paid approximately 3,900 physicians at least $1 million in 2013, according to a Bloomberg analysis of newly released data from CMS.
Westchester Medical Center's recent $18.8 million settlement resolving allegations of unnecessary cardiac procedures has raised patient safety concerns, along with questions about the potential for fraud and abuse among cardiology providers.
A new report on the Medicare program's attempt to remake the nation's healthcare finance system praised accountable care organizations but also pushed for the continued use of bundled payments to facilitate lower-cost, higher-quality care.
The process for determining how much work a physician puts into completing a particular clinical task is often inflated and inaccurate, creating problems when Medicare and other federal agencies attempt to place an appropriate value on the task, according to a new report by the Government Accountability Office.
The Medicare program has financially penalized hospitals for years for not preventing avoidable injuries to patients while they're hospitalized, but it is hard to determine whether that program has had a concrete impact.
Is it truly possible for hospitals to become more productive, providing patients with better care for less money? Apparently yes, according to recent research that examined productivity growth in U.S. hospitals that treated Medicare patients who had a heart attack, heart failure and pneumonia during 2002-2011.
Sixteen hospitals across seven states have agreed to a $15.7 million settlement with the federal government to resolve claims that the providers improperly billed Medicare for Intensive Outpatient Psychotherapy, according to a Department of Justice statement.
Accountable care organizations aligned with Medicare's Pioneer ACO program saw smaller increases in Medicare spending compared to general Medicare fee-for-service beneficiaries in the Pioneer program's second year, according to a study published in the Journal of the American Medical Association.
Now that the Sustainable Growth Rate is no more, practices must choose one of two paths for reimbursement going forward.