Public Policy

Hospital Readmissions Rates, Medicare Penalty Analysis

A widely cited statistic in the national readmissions debate holds that one in five acute hospital discharges will lead to a readmission within 30 days.1 Associated costs are estimated at $17.5 billion, although that figure encapsulates significant variation across diagnoses, regions, and hospital models.1 Analyses by CMS and others suggest that average 30-day readmission rates… [Read More]

LISTEN NOW: SHM Launches a Patient Experience Committee

SHM has a new committee – the patient experience committee. Dr. Burke Kealey, current SHM President and associate medical director for hospital specialties at Health Partners in St. Paul, Minn., talks about how the patient experience committee grew from the work of an SHM task force.

Hospitalists Lead Efforts To Reduce Care Costs, Improve Patient Care

In 2015, reimbursement for physicians in large groups is subject to a value modifier that takes into account the cost and quality of services performed under the Medicare Physician Fee Schedule. By 2017, the modifier will apply to all physicians participating in fee-for-service Medicare. It’s one more way the Centers for Medicare and Medicaid Services… [Read More]

Reimbursement of Advance Care Planning by Medicare Has Support of Hospitalists

On Oct. 31, 2014, the Centers for Medicare and Medicaid Services (CMS) published the 2015 Medicare Physician Fee Schedule (MPFS) Proposed Rule. Included in the rule was an interesting discussion about the potential for Medicare to begin paying for advance care planning services. CMS describes these services as “the explanation and discussion of advance directives,… [Read More]