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Kansas insurer to stop payment for some errors

Quality Improvement Monitor, August 1, 2008

Yet another insurer will stop paying hospitals for preventable medical complications, the Wichita Eagle reported this week.

Preferred Health Systems, Kansas’ largest health insurer, will no longer reimburse hospitals for so-called never events starting October 1, 2008, the same day CMS will also halt payment for eight hospital-acquired conditions.

Those conditions include leaving an object inside a patient during surgery, using the wrong blood type during a transfusion, and hospital-acquired infections.

"The whole premise behind all this is to put hospitals on notice that these conditions and events need to stop to really solidify patient safety and (to) encourage hospitals to approve quality day in and day out, one patient at a time," Brad Clothier, Preferred Health's chief operating officer, told the Eagle.

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