Case Management

CMS to hospitals: We will no longer pay for mistakes and errors

Case Management Weekly, August 22, 2007

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Beginning in 2008, the next time a patient contracts a hospital-acquired disease or experiences a preventable condition such as pressure ulcers or injuries caused by falls, Medicare will no longer pick up the tab, according to an article in The New York Times.

 

Private insurers are considering similar changes, which could multiply the savings and benefits for patients.

 

The rule change announced this month is among several initiatives that the Bush administration says are intended to improve the accuracy of Medicare's payment for hospital patients who receive acute care and to encourage hospitals to improve the quality of their services.

 

The rule also identifies eight conditions called "never events" that Medicare no longer will pay for. These include:

  • Blood incompatibility
  • Urinary tract infections from using catheters
  • Pressure ulcers
  • Vascular infections
  • Air embolism

 

CMS expects to save hundred of millions of dollars a year as a result of the new policy.

 

Source: The New York Times



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