Medicaid and Managed Care–Who Benefits?
Is Medicaid really broke? If not, who is making money where Managed Care is involved? According to this, not the providers. Is this ignored so that attention is focused on allegations of fraud by providers?
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Rise of Accountable Care Organizations Changing the Landscape of Accreditation
According to a recent article in Modern Healthcare, increasing consolidation in the healthcare sector and changes in reimbursement methodologies, such as the payment structure for accountable care organizations (“ACOs”) is leading to changes in accreditation standards.
John Burke, the CEO and President of Accreditation Association for Ambulatory... [Read more of this review]
Non-payment for “Never Events”: Coming to a Long-Term Care Provider Near You
Since October 2008, the Centers for Medicare and Medicaid Services (“CMS”) have not paid hospitals for certain hospital-acquired conditions. That is, CMS will not pay for certain conditions that were not present in the patient upon admission. The conditions are, as designated by CMS, conditions that are: (a) high cost or high volume or both,... [Read more of this review]
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