tci Medicare Compliance & Reimbursement - 2003 Issue 22

Hospitals: Pay-For-Quality Hospital Demo In Works

The Centers for Medicare & Medicaid Services hopes to soon announce a demonstration that would pay more to hospitals that provide better quality care. As reported last week in the Wall Street Journal and confirmed by CMS sources, hospitals with high quality marks would get a one or two percent bonus added to their regular reimbursements. The measures would focus on patients with eight medical conditions, including stroke, heart attack, hip surgery, and pneumonia. According to the Journal, a hospital might report how quickly pneumonia patients received antibiotics, or how many heart attack patients got beta blockers at discharge...

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