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CMS wants ACOs to take on more risk. Here's how.

August 13, 2018


CMS is proposing replacing the current Medicare Shared Savings Program tracks with two options that accelerate the pathway for accountable care organizations to transition to two-sided risk models.

Payment bumps and price transparency requirements: Inside CMS' 2,610-page IPPS final rule

August 3, 2018


CMS' final rule for the Inpatient Prospective Payment System and Long-Term Acute Care Hospital (LTCH) Payment System for fiscal year 2019, which overhauls the meaningful use program and aims to improve hospital price transparency, will affect about 3,300 acute care facilities and about 420 LTCH facilities.

CMS finalizes payments bump for post-acute care, hospice providers

August 2, 2018


CMS' final rules for skilled nursing facilities, inpatient rehabilitation facilities, and inpatient psychiatric facilities will increase payments to the facilities by a total of $975 million for fiscal year (FY) 2019, while a separate final rule will increase Medicare payments for hospices by a total of $350 million for FY 2019.

Hospice has grown in popularity—and it's vulnerable to fraud, HHS' OIG finds

August 2, 2018


CMS says, "The agency takes the oversight role of the Medicare hospice program seriously and is aggressively focused on reducing and eliminating fraud, waste, and abuse."

FDA warns against devices marketed for 'vaginal rejuvenation'

August 2, 2018


FDA Commissioner Scott Gottlieb warns women and their health care providers against the use of devices for procedures—referred to as vaginal rejuvenation—to eliminate or reshape vaginal tissue to treat conditions and symptoms related to menopause, sexual function, or urinary incontinence.

Diagnostic discordance occurs in about 85% of hospital transfers. Here's how providers are trying to do better.

August 1, 2018


A study finds that diagnostic discordance—when a patient receives different diagnoses after being transferred—occurs in roughly 85% of hospital transfers, and some hospitals are looking to resolve the issue.

FDA's cautioned against epidural steroid injections, but doctors are prescribing it anyway

August 1, 2018


As fewer physicians prescribe opioids, a growing number of patients are being prescribed an injectable anti-inflammatory drug to treat their back pain—despite the drug's manufacturer warning against injecting the drug along the spine.

California introduces app to inform patients when a doctor's license is suspended or revoked

July 31, 2018


The Medical Board of California's new mobile app will send notifications to patients if a doctor's license is suspended or revoked, or when any disciplinary action is levied against a provider.

Providers don't follow guidelines to prevent maternal deaths, injuries, USA Today investigation finds

July 30, 2018


A USA Today investigation shows thousands of U.S. women die or sustain life-changing injuries during childbirth annually as a result of hospitals and medical employees not following recommended safety practices.

Why CMS lowered star ratings for nearly 1.4K nursing homes

July 30, 2018


CMS says 1,387 of the 15,616 nursing homes in the United States either did not staff the adequate number of registered nurses (RNs) required by the federal government or they failed to supply payroll data that verified they had the required number of RNs.

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