Welcome!

News Feed Item

Hospitals Fined $529 Million

New Rules to be Published August 22

SHEPHERDSTOWN, W.Va., Aug. 6, 2014 /PRNewswire-iReach/ -- Medicare will fine hospitals $529 million for serving Medicare patients twice in 30 days. The fines reduce hospital care for seniors, thus saving Medicare money.

Photo - http://photos.prnewswire.com/prnh/20140805/133779

The largest fines are $4 million each for Beaumont Hospital in Royal Oak, MI; Thomas Jefferson University Hospital in Philadelphia; Northwestern Memorial Hospital in Chicago; and Florida Hospital in Orlando.

Total fines by state range from $51 million in New York, $40 million in Illinois, $38 million in Florida, and $33 million in California, to $75,000 in Vermont and zero in Maryland. Medicare's headquarters are in Maryland, and the state promised to cut readmissions by 2019, so Medicare exempts it. All hospitals and states are listed on Globe1234.com.

Hospitals pay fines when patients in five categories stay in a hospital, and then have an unplanned hospital stay within 30 days. It does not matter if the stays are related or not, at the same or different hospitals. Fines apply when hospitals have more readmissions than the national average, adjusted for patient mix. Eighty-three percent of hospitals where Medicare calculated the data will pay fines, because they had more readmissions than average in at least one category.

Hospitals earn fines when patients have Medicare Part B for doctor bills and are in one of these five categories: elective hip or knee replacement, heart attacks,  pneumonia, congestive heart failure, and chronic obstructive pulmonary disease (COPD).

These conditions often occur in fragile seniors who need more frequent care than average. Medicare is trying to reduce the hospital stays it covers for these seniors to save money. Patients can avoid the limits on care by dropping Part B if they have access to other insurance, going to Maryland hospitals, or waiting until the 31st day to go back to a hospital if medically appropriate.

Doctors Joynt and Jha of Harvard in the Journal of the American Medical Association Jan 23, 2013 found that fines fall on hospitals which serve the neediest patients, "large hospitals, teaching hospitals, and SNHs [safety net hospitals] are more likely to receive payment cuts" from readmission penalties, "likely related to both case mix (medical complexity) and socioeconomic mix of the patient population."

The Affordable Care Act has formulas for the fines. Medicare chooses the exemptions and chose to add hip and knee replacements and COPD this year. Medicare also publishes each hospital's total readmission rate for all Medicare patients, to deter all readmissions for 30 days after a hospital stay.

Medicare posted the rules on its website August 4 and will publish them in the Federal Register August 22. Fines have accrued in the past three years, and payment will start October 1. Estimates for each hospital were prepared and posted by a private site, Globe1234.com.

Globe1234.com is a watchdog site on issues such as readmissions, accountable care and diet guidelines. It is edited by Paul Burke, a retired federal researcher. A graduate of Brown University, he has managed and analyzed data for HUD, Congress' Office of Technology Assessment, and the UN Development Programme.

Media Contact: Paul Burke, Globe1234.com, 304-876-2227, [email protected]

News distributed by PR Newswire iReach: https://ireach.prnewswire.com

SOURCE Globe1234.com

More Stories By PR Newswire

Copyright © 2007 PR Newswire. All rights reserved. Republication or redistribution of PRNewswire content is expressly prohibited without the prior written consent of PRNewswire. PRNewswire shall not be liable for any errors or delays in the content, or for any actions taken in reliance thereon.

Latest Stories
DevOpsSummit New York 2018, colocated with CloudEXPO | DXWorldEXPO New York 2018 will be held November 11-13, 2018, in New York City. Digital Transformation (DX) is a major focus with the introduction of DXWorldEXPO within the program. Successful transformation requires a laser focus on being data-driven and on using all the tools available that enable transformation if they plan to survive over the long term.
DXWorldEXPO | CloudEXPO are the world's most influential, independent events where Cloud Computing was coined and where technology buyers and vendors meet to experience and discuss the big picture of Digital Transformation and all of the strategies, tactics, and tools they need to realize their goals. Sponsors of DXWorldEXPO | CloudEXPO benefit from unmatched branding, profile building and lead generation opportunities.
Enterprise architects are increasingly adopting multi-cloud strategies as they seek to utilize existing data center assets, leverage the advantages of cloud computing and avoid cloud vendor lock-in. This requires a globally aware traffic management strategy that can monitor infrastructure health across data centers and end-user experience globally, while responding to control changes and system specification at the speed of today’s DevOps teams. In his session at 20th Cloud Expo, Josh Gray, Chie...
Disruption, Innovation, Artificial Intelligence and Machine Learning, Leadership and Management hear these words all day every day... lofty goals but how do we make it real? Add to that, that simply put, people don't like change. But what if we could implement and utilize these enterprise tools in a fast and "Non-Disruptive" way, enabling us to glean insights about our business, identify and reduce exposure, risk and liability, and secure business continuity?
The deluge of IoT sensor data collected from connected devices and the powerful AI required to make that data actionable are giving rise to a hybrid ecosystem in which cloud, on-prem and edge processes become interweaved. Attendees will learn how emerging composable infrastructure solutions deliver the adaptive architecture needed to manage this new data reality. Machine learning algorithms can better anticipate data storms and automate resources to support surges, including fully scalable GPU-c...
In this Women in Technology Power Panel at 15th Cloud Expo, moderated by Anne Plese, Senior Consultant, Cloud Product Marketing at Verizon Enterprise, Esmeralda Swartz, CMO at MetraTech; Evelyn de Souza, Data Privacy and Compliance Strategy Leader at Cisco Systems; Seema Jethani, Director of Product Management at Basho Technologies; Victoria Livschitz, CEO of Qubell Inc.; Anne Hungate, Senior Director of Software Quality at DIRECTV, discussed what path they took to find their spot within the tec...
Enterprises are striving to become digital businesses for differentiated innovation and customer-centricity. Traditionally, they focused on digitizing processes and paper workflow. To be a disruptor and compete against new players, they need to gain insight into business data and innovate at scale. Cloud and cognitive technologies can help them leverage hidden data in SAP/ERP systems to fuel their businesses to accelerate digital transformation success.
Nicolas Fierro is CEO of MIMIR Blockchain Solutions. He is a programmer, technologist, and operations dev who has worked with Ethereum and blockchain since 2014. His knowledge in blockchain dates to when he performed dev ops services to the Ethereum Foundation as one the privileged few developers to work with the original core team in Switzerland.
"We host and fully manage cloud data services, whether we store, the data, move the data, or run analytics on the data," stated Kamal Shannak, Senior Development Manager, Cloud Data Services, IBM, in this SYS-CON.tv interview at 18th Cloud Expo, held June 7-9, 2016, at the Javits Center in New York City, NY.
DXWorldEXPO LLC announced today that Telecom Reseller has been named "Media Sponsor" of CloudEXPO | DXWorldEXPO 2018 New York, which will take place on November 11-13, 2018 in New York City, NY. Telecom Reseller reports on Unified Communications, UCaaS, BPaaS for enterprise and SMBs. They report extensively on both customer premises based solutions such as IP-PBX as well as cloud based and hosted platforms.
Containers and Kubernetes allow for code portability across on-premise VMs, bare metal, or multiple cloud provider environments. Yet, despite this portability promise, developers may include configuration and application definitions that constrain or even eliminate application portability. In this session we'll describe best practices for "configuration as code" in a Kubernetes environment. We will demonstrate how a properly constructed containerized app can be deployed to both Amazon and Azure ...
"Akvelon is a software development company and we also provide consultancy services to folks who are looking to scale or accelerate their engineering roadmaps," explained Jeremiah Mothersell, Marketing Manager at Akvelon, in this SYS-CON.tv interview at 21st Cloud Expo, held Oct 31 – Nov 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA.
"Space Monkey by Vivent Smart Home is a product that is a distributed cloud-based edge storage network. Vivent Smart Home, our parent company, is a smart home provider that places a lot of hard drives across homes in North America," explained JT Olds, Director of Engineering, and Brandon Crowfeather, Product Manager, at Vivint Smart Home, in this SYS-CON.tv interview at @ThingsExpo, held Oct 31 – Nov 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA.
In this presentation, you will learn first hand what works and what doesn't while architecting and deploying OpenStack. Some of the topics will include:- best practices for creating repeatable deployments of OpenStack- multi-site considerations- how to customize OpenStack to integrate with your existing systems and security best practices.
DXWordEXPO New York 2018, colocated with CloudEXPO New York 2018 will be held November 11-13, 2018, in New York City and will bring together Cloud Computing, FinTech and Blockchain, Digital Transformation, Big Data, Internet of Things, DevOps, AI, Machine Learning and WebRTC to one location.