Category: Health Insurance

CMS star ratings found lacking in some areas, especially risk, study finds

The star algorithm fails to fully capture the typical observation that higher surgical volume is associated with better quality outcomes.

BPCI Advanced down to 1,295 providers as 252 drop-out

CMS announces 715 acute care hospitals and 580 physician group practices remain in the bundled payments for care improvement advanced program, for a total of 1,295 Medicare providers.

Early discharge after lung surgery benefits patients without raising readmission risk

Thoracic surgeons are often reluctant to discharge patients on an accelerated time frame for fear of harm or readmission risk.

Early discharge after lung surgery benefits patients without raising readmission risk

Thoracic surgeons are often reluctant to discharge patients on an accelerated time frame for fear of harm or readmission risk.

Podcast: KHN’s ‘What The Health’ Surprise! Fixing Surprise Medical Bills Is Harder Than it Looks

Joanne Kenen of Politico, Anna Edney of Bloomberg News and Alice Miranda Ollstein of Politico join KHN’s Julie Rovner to discuss the efforts to curb “surprise” medical bills to patients who inadvertently get out-of-network care; a look at where the 2020 presidential candidates stand on health; and the Trump administration’s efforts to end HIV in the U.S. Also, Rovner interviews Food and Drug Administration Commissioner Scott Gottlieb, who is leaving his job in early April.

Improper removal of personal protective equipment contaminates healthcare workers

Almost 40 percent of workers made errors in removing personal protective equipment — PPE — including gowns and gloves.

Insurers, providers, spar over solution to surprise medical bills

America’s Health Insurance Plans called on Congress to set a fixed reimbursement rate based on what insurers pay in a region.

Health Plans For State Employees Use Medicare’s Hammer On Hospital Bills

Some plans are experimenting with the idea of closely tying hospital reimbursement rates to what Medicare pays. The approach could be a game changer in their effort to control health costs.

CHI Franciscan, Washington state settle suit over alleged antitrust violations in physician group acquisition, partnership agreement

State argued CHI Franciscan acquisition of WestSound Orthopaedics and professional services agreement with The Doctors Clinic limited patient choice, set up price hikes.

High price of drugs is biggest issue in prescription adherence, physicians say

Only 5 percent of physicians always track whether their patients are taking their drugs, survey says.