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CMS Launches Oncology Care Bundled Payment Program
Nearly 200 physician groups and 17 payers are participating in the CMS Oncology Care Model aimed at lowering the cost of cancer care by giving physicians financial and performance accountability for episodes of care involving administration of chemotherapy.
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Health System Takes Part in Bundled Payments to Learn for the Future
When CMS announced the Bundled Payments for Care Improvement initiative, Sentara Healthcare chose to participate in a big way and now has implemented bundled payments across 12 hospitals, covering 180-plus DRGs.
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BPCI Initiative Cuts Readmissions, Costs for Patients Having Cardiac Valve Surgery
After Vanderbilt University Medical Center began a bundled payment project for patients who had cardiac valve replacement or valve repair surgery, readmissions for those patients dropped by 20% and the cost of care decreased at the same time.
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Provider Partnerships Must go Beyond Collaboration, Include Data Sharing
The significant role that post-acute care plays in bundled payments makes it crucial for hospitals to identify providers that perform the best and enter into agreements with them to establish a high-performing post-acute network
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Bundled Payments Take a Lot of Work — So You Better Start Now
CMS has given providers only a short time frame in which to go live with their bundled payments programs — which makes it difficult for providers to prepare.
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Get Ready for Bundled Payments: They’re Coming Your Way
If your hospital is not in one of the geographic areas where the CMS mandated that hospitals participate in the Comprehensive Care for Joint Replacement program, don’t think you’ve dodged the bundled payment bullet.
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Radiologist’s Failure to Diagnose Breast Cancer Results in Jury Verdict of $6.9 Million
In 2008, a 39-year-old woman underwent a mammogram. The doctor who reviewed the results reported that the calcifications, or calcium deposits, found in the woman’s right breast were benign. Although a prior mammogram screening in 2003 revealed no such calcifications, and the woman’s medical records reported a family history of breast cancer, the doctor did not order further diagnostic testing of the woman’s right breast. -
Relying Exclusively on Family for Medical History Breaches Standard of Care, Yields $4.58M Verdict
On June 8, 2012, a 33-year-old woman drove to the hospital and was complaining of severe head pain and other symptoms. She told doctors that she had a history of brain swelling that was caused by a pre-existing condition known as lupus and was being monitored by a neurologist. The hospital diagnosed the woman with a migraine, administered a “migraine cocktail,” and then discharged her without providing a neurological consult, performing diagnostic imaging of her brain, or reviewing her past medical history. The next day, the woman died.
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Changes to Conditions of Participation Proposed
CMS has proposed changes to the Conditions of Participation that the agency says will improve patient safety and quality.
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$53 Million Award for Birth Brain Injury
In what is believed to be the biggest birth injury verdict ever in Chicago’s Cook County, a jury has ordered the University of Chicago Medical Center to pay $53 million in a case involving a 12-year-old boy who was born with a serious brain injury.