News & Analysis as of

Hospital Readmission Hospitals

King & Spalding

CMS’s Hospital Readmissions Reduction Program May Not Be Used to Deny Individual Commercial Claims

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The Hospital Readmissions Reduction Program (HRRP) is a Medicare value-based purchasing program that reduces payments to hospitals with excess readmissions. This performance program penalizes hospitals up to three percent of...more

King & Spalding

Also In The News - Health Headlines - September 2016 #3

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CMS Rejects Ohio’s Section 1115 Medicaid Demonstration Waiver Application – On September 9, 2016, CMS denied Ohio’s application for a new demonstration section 1115 Medicaid waiver, citing concerns over the State’s request to...more

King & Spalding

CMS Releases Guide to Preventing Readmissions Among Racially and Ethnically Diverse Medicare Beneficiaries

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On January 26, 2016, the CMS Office of Minority Health released a new Guide to Preventing Readmissions among Racially and Ethnically Diverse Medicare Beneficiaries (Guide). The purpose of the Guide is to assist hospital...more

King & Spalding

Also In The News - Health Headlines - September 2015 #3

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FDA and CDC Issue An Alert on Properly Cleaning Medical Devices – On September 11, 2015, the CDC and FDA issued a joint advisory alerting providers and facilities about properly cleaning medical devices, due to concern with...more

King & Spalding

CMS Issues FY 2016 IPPS and LTCH Final Rule

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On July 31, 2015, CMS issued its final rule to update the fiscal year (FY) 2016 Medicare payment policies and rates under the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) Prospective...more

King & Spalding

AHRQ Releases Guidance for Reductions in Medicaid Hospital Readmissions

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The Agency for Healthcare Research and Quality (AHRQ) has issued a comprehensive guide with an interactive toolkit for providers to target reductions in Medicaid hospital readmissions. While numerous CMS initiatives have...more

Foley & Lardner LLP

New Federal Guidance on Reducing Medicaid Hospital Readmissions

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The Agency for Healthcare Research and Quality (AHRQ) recently issued a guide to assist hospitals in reducing Medicaid patient readmissions. The AHRQ Hospital Guide to Reducing Medicaid Readmissions is the product of a...more

Troutman Pepper

Homeless Readmissions In Los Angeles – A Community Acts

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After years of planning and in response to the reality of cuts from Medicare due to excessive readmissions, more than 30 Southern California hospitals and health systems and other providers gathered on June 10, 2013 to kick...more

Mintz - Health Care Viewpoints

First Year Analysis – The Pioneer ACO Program Wins Some, Loses Some

This week, CMS announced the shared savings results and the clinical achievements from the first year of the Pioneer ACO Program. During the first year...more

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