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Medicare Rewards for Process, Patient Satisfaction Not Always Linked to Better Outcomes
The movement to improve hospital quality has long assumed that close adherence to best medical practices leads to better outcomes. But a Modern Healthcare analysis of Medicare's first stabs at rewarding hospitals that do well on process-of-care measures and a patient-satisfaction survey while penalizing hospitals with high readmission rates shows only a minor correlation between the two.
The analysis, which uses Medicare's initial results for the value-based purchasing and readmissions reduction programs, also shows that hundreds of hospitals that did well in one program were penalized in the other. Dozens of hospitals that got the highest marks for avoiding readmissions were heavily penalized for their performance on process and patient satisfaction, while dozens more that received the maximum penalty for high 30-day readmission rates got high marks on key processes and attention to patients.
Read the full story: http://bit.ly/1181YAq
Source: ModernHealthcare.com
The Biden administration recently launched the Global Health Security Strategy, a new effort to combat the spread of infectious diseases; lawmakers zeroed in on the risks of massive consolidation in health care during the first congressional hearing on the Change Healthcare hack; the FDA recently announced the recall of a pair of heart devices linked to numerous deaths and injuries.
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Navigating Health Policy in an Election Year: Insights From Dr Dennis Scanlon
April 2nd 2024On this episode of Managed Care Cast, we're talking with Dennis Scanlon, PhD, the editor in chief of The American Journal of Accountable Care®, about prior authorization, price transparency, the impact of health policy on the upcoming election, and more.
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Exploring Medicare Advantage Prior Authorization Variations
March 26th 2024On this episode of Managed Care Cast, we're talking with the authors of a study published in the March 2024 issue of The American Journal of Managed Care® about their findings on variations in prior authorization use across Medicare Advantage plans.
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