Managed Care Weekly Digest
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Medicare and Medicaid
Research from T.E. Hamilton and co-authors reveals new findings on medicare and medicaid
July 13th, 2009
"Two concerns expressed by the American Society of Transplant Surgeons (ASTS) are that (1) the new Medicare regulations for transplant hospitals take a 'punitive' approach and that (2) the outcome requirement may thwart innovation by not including certain risk factors into the risk adjustment used to calculate expected outcomes. This article explains efforts by the Centers for Medicare & Medicaid Services (CMS) to encourage quality improvement," investigators in the United States report. "CMS limits outcomes-related enforcement to situations where failure rates exceed certain substantial 'tolerance limits', ensuring opportunity for quality improvement to be effective...
Source: Managed Care Weekly Digest (2009-07-13)
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