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Insurers consider stopping payment for egregious errors

Quality Improvement Monitor, January 18, 2008

Taking a lead from Medicare, insurers are moving to stop payments for care caused by medical errors, according to a report in this week's Wall Street Journal.

Aetna Inc. and WellPoint Inc. are among the insurers looking to stop payments for egregious errors, such as operating on a wrong limb.

Such mistakes are so grievous "there can't be any argument that they should ever happen," Troy Brennan, Aetna's chief medical officer, told the Journal.

Beginning in October of this year, CMS will no longer pay for eight preventable conditions, including pressure ulcers and hospital-acquired infections.

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