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Managed Care Weekly Digest

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Medicare and Medicaid



Research results from Northwestern University update knowledge of medicare and medicaid



July 13th, 2009

"The transplant center regulations recently published by the Centers for Medicare and Medicaid (CMS) mandate that observed program-specific survival outcomes to fall within expected risk-adjusted outcomes. Meeting these outcomes is essential to continued participation in the Medicare program," scientists in the United States report.

"Both donor and recipient variables not considered in current risk adjustment models can result in inferior outcomes and therefore may cause an overestimation of transplant center expected performance, precluding participation in the federally funded Medicare program. We reviewed the most recent four reporting periods published by the...


Source: Managed Care Weekly Digest (2009-07-13)

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