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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.
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.
Quality Measurement & Star Ratings
The AHA has long supported transparency and continues to share the Centers for Medicare & Medicaid Services' goal of making the data on Hospital Compare easier for consumers to understand.
CMS Issues Proposed Rule for CY 2024 Medicare Advantage, Prescription Drug Plans
The Centers for Medicare & Medicaid Services (CMS) Dec. 14 released its proposed Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Program for Contract Year (CY) 2024. The proposed rule would increase oversight of Medicare Advantage (MA) plans and better align them with Traditional Medicare, address access gaps in behavioral health services and further streamline prior authorization processes, supplementing a separate proposal last week.
CMS updates Overall Hospital Quality Star Ratings
The Centers for Medicare & Medicaid Services today updated with 2021 data the Overall Hospital Quality Star Ratings at its Care Compare website and Provider Data Catalog.
Report: Hospital star ratings methodology remains volatile for smaller hospitals
The Centers for Medicare & Medicaid Services’ new Hospital Overall Star Ratings methodology preservessome year-to-year stability, but some ratings remain volatile.
Blog: Understanding CMS’ Changes to Hospital Overall Star Ratings
In 2020, the Centers for Medicare & Medicaid Services (CMS) overhauled the Hospital Overall Quality Star Ratings methodology with the expressed purpose of making ratings more transparent, equitable, stable and predictable.
Hospital Star Ratings: Details to Help You Prepare for the July Update
This month, the Centers for Medicare & Medicaid Services (CMS) will refresh the Overall Hospital Quality Star Ratings (Overall S
CMS delays hospital star ratings update until July
The Centers for Medicare & Medicaid Services today announced it will delay updating the Overall Hospital Quality Star Ratings on the Care Compare website from April until July so it can correct