More Payment Reductions from Medicare
[Staff Reporters]
Medicare has implemented its new policy of halting payment to hospitals for the added cost of treating patients who are injured in their care.
Reasonably Preventable
According to the New York Times on October 1, Medicare has put 10 “reasonably preventable” conditions on its initial list, including:
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patients receiving incompatible blood transfusions.
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developing infections after certain surgeries.
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undergoing a second operation to retrieve a sponge left behind from the first.
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developing serious bed sores.
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developing urinary tract infections caused by catheters, and;
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suffering injuries from falls.
Congressional Mandates
The Congressionally mandated Medicare measure is not projected to yield large savings – $21 million a year, compared with $110 billion spent on inpatient care in 2007. But, officials believe that the regulations could apply to several hundred thousand hospital stays of the 12.5 million covered annually by Medicare, while the policy will also prevent hospitals from billing patients directly for costs generated by medical errors.
Assessment
Over the last year, four states Medicaid programs have announced that they will not pay for as many as 28 “never events,” joining some of the country’s largest commercial insurers, including WellPoint, Aetna, Cigna and Blue Cross Blue Shield plans in seven states.
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