Category: CMS

Startup Seeks To Hold Doctors, Hospitals Accountable On Patient Record Requests

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Use Our Content This story can be republished for free (details). When Kelly Shanahan had her OB-GYN practice in South Lake Tahoe, Calif., she was meticulous about providing medical records promptly to all patients who requested them, she said. But since being diagnosed with metastatic breast cancer in 2013, an event that forced her into ….  Read More

White House Unveils Finalized Health Care Price Transparency Rule

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Hospitals will soon have to share price information they have long kept obscured — including how big a discount they offer cash-paying patients and rates negotiated with insurers — under a rule finalized Friday by the Trump administration. In a companion proposal, the administration announced it is also planning to require health insurers to spell ….  Read More

‘Fear Of Falling’: How Hospitals Do Even More Harm By Keeping Patients In Bed

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Dorothy Twigg was living on her own, cooking and walking without help until a dizzy spell landed her in the emergency room. She spent three days confined to a hospital bed, allowed to get up only to use a bedside commode. Twigg, who was in her 80s, was livid about being stuck in a bed ….  Read More

Look Up Your Hospital: Is It Being Penalized By Medicare?

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By Jordan Rau September 30, 2019 Jordan Rau, Kaiser Health News Under programs set up by the Affordable Care Act, the federal government cuts payments to hospitals that have high rates of readmissions and those with the highest numbers of infections and patient injuries. For the readmission penalties, Medicare cuts as much as 3 percent ….  Read More

KHN Files Lawsuit To Force Feds To Disclose Medicare Advantage Audits

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Kaiser Health News is suing the U.S. Centers for Medicare & Medicaid Services to release dozens of audits that the agency says reveal hundreds of millions of dollars in overcharges by Medicare Advantage health plans. The suit, filed late Thursday in U.S. District Court in San Francisco under the Freedom of Information Act, seeks copies ….  Read More

Why Red Wyoming Seeks The Regulatory Approach To Air Ambulance Costs

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Markian Hawryluk Wyoming, the reddest of Republican states and a bastion of free enterprise, thinks it may have found a way to end crippling air ambulance bills that can top $100,000 per flight. The state’s unexpected solution? Undercut the free market by using Medicaid to treat air ambulances like a public utility. The issue has ….  Read More

Trump Administration Hits Brakes On Law To Curb Unneeded Medicare CT Scans, MRIs

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Five years after Congress passed a law to reduce unnecessary MRIs, CT scans and other expensive diagnostic imaging tests that could harm patients and waste money, federal officials have yet to implement it. The law requires that doctors consult clinical guidelines set by the medical industry before Medicare will pay for many common exams for ….  Read More