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Health Care Paradox: Medicare Penalizes Dozens of Hospitals It Also Gives Five Stars

KHN

“It’s very hard to capture patient safety with the surveillance methods we currently have,” he said. The law also excuses hospitals that focus on rehabilitation, long-term care, children, psychiatry, or veterans. Exempted from the evaluation are around 2,000 hospitals.

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Health Care Paradox: Medicare Penalizes Dozens of Hospitals It Also Gives Five Stars

KHN

One problem, he added, is “you’re kind of asking hospitals to call out events that are going to have them lose money, so the incentives are really messed up for hospitals to fully disclose” patient injuries. The law also excuses hospitals that focus on rehabilitation, long-term care, children, psychiatry, or veterans.

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HHS OIG Report On Prior Authorizations Under Medicare Advantage

Sheppard Health Law

The Report is another example of the OIG fanning the fire of criticism of MAOs by ignoring the overwhelming evidence that MAOs provide access to medically necessary services and also minimized the program requirements and guidance from the Centers for Medicare and Medicaid Services (“CMS”), with which MAOs must comply. The OIG Report.

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Behavioral Health System Modernization along the Continuum

NASHP

States such as Texas, Wyoming , and New Jersey are adopting Medicaid reimbursement of collaborative care services and are addressing capacity to transition to CoCM. Integration of Substance Use Services and Supports States can align long siloed approaches to primary care, mental health, and substance use services through integration efforts.

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BREAKING NEWS: Emergency Regulation Requiring COVID-19 Vaccination Issued for Health Care Workers

Briggs Healthcare

The Biden-Harris Administration is requiring COVID-19 vaccination of eligible staff at health care facilities that participate in the Medicare and Medicaid programs. The regulation will create a consistent standard within Medicare and Medicaid while giving patients assurance of the vaccination status of those delivering care.

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Patients Facing Death Are Opting for a Lifesaving Heart Device — But at What Risk?

KHN

A Last-Resort Treatment Before he got a HeartMate 3 implanted in January 2022, Sid Covington, of Austin, Texas, said he had researched the device during years of medication therapy and cardiac rehabilitation to treat his congestive heart failure. “I looked at case studies.

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