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New Analysis Validates Need to Preserve Restrictions on the Growth of Physician-owned Hospitals
As some members of Congress continue to propose weakening Medicare’s prohibition on physician self-referral to new physician-owned hospitals (POHs) and loosening restrictions on the growth of existing POHs, new data from Dobson | DaVanzo show that POHs report fewer quality measures and perform worse on readmission penalties compared to full-service community hospitals.
Study: Physician-owned hospitals perform worse on readmissions, report on fewer quality measures
As some members of Congress propose to weaken Medicare’s prohibition on physician self-referral to new physician-owned hospitals and ease restrictions on their growth, new data from Dobson | DaVanzo show that POHs publicly report on fewer Medicare quality measures and perform worse on readmission penalties than full-service community hospitals
Keeping the Brakes on Physician-owned Hospitals is Best for Patients
Fair competition has always been the driving principle of our nation’s economy. This includes health care, and it’s the reason the Ethics in Patient Referrals Act, more commonly known as the “Stark Law,” has been on the books for decades to protect the Medicare program from the inherent conflict of interest created when physicians self-refer their patients to facilities and services in which they have a financial stake.
CMS reports $1.8 billion in Medicare shared savings in 2022
The Centers for Medicare & Medicaid Services Aug. 25 reported that the Medicare Shared Savings Program saved the agency $1.8 billion in 2022. This marks the sixth consecutive year of cost savings for the program, and the second highest savings year reported since the program started.
Medicare Physician Fee Schedule Proposed Rule for CY 2024
The Centers for Medicare & Medicaid Services (CMS) July 13 issued its physician fee schedule proposed rule for calendar year (CY) 2024.
Analysis of Selected Medicare Quality Measure Reporting Data by Hospital Ownership
Dobson | DaVanzo recently examined Medicare claims data comparing demographic and clinical characteristics of facilities and patients receiving care at physician-owned hospitals (POHs) and all other acute care hospitals (non-POHs). That report showed that relative to POHs, non-POHs care for older, more medically complex patients who are on average burdened with multiple co-morbid conditions, while also operating on lower margins and providing more uncompensated and unreimbursed care.
Bill would extend, strengthen MACRA incentives for advanced APMs
The AHA today joined 16 other organizations in voicing support for the Value in Health Care Act, bipartisan legislation that would extend the 5% Medicare payment incentives for advanced Alternative Payment Models under the Medicare Access and CHIP Reauthorization Act that are set to expire this year.
CMS Issues Physician Fee Schedule Proposed Rule for CY 2024
The Centers for Medicare & Medicaid Services (CMS) July 13 issued a proposed rule that would update physician fee schedule (PFS) payments for calendar year (CY) 2024.
CMS issues CY 2024 physician fee schedule proposed rule
The Centers for Medicare & Medicaid Services July 13 released its calendar year 2024 proposed rule for the physician fee schedule. The rule proposes a decrease to the conversion factor by 3.34%, to $32.75 in calendar year 2024, as compared to $33.89 in CY 2023.
Protect Access to Care for Patients and Communities
Congress should enact policies to strengthen the health care workforce and reject harmful proposals that would cut Medicare or Medicaid payments to hospitals and reduce access to care and services for patients.