Navigation Links
Consumers Union Supports Proposed Expansion of Medicare Policy to Withhold Payments to Hospitals That Harm Patients
Date:6/19/2008

Non-Payment Plan Aims to Reduce Preventable Hospital Acquired Infections & Medical Errors

WASHINGTON, June 19 /PRNewswire-USNewswire/ -- The federal government should expand its effort to restrict Medicare payments to hospitals for the cost of health care associated with certain infections and medical errors acquired during treatment, according to Consumers Union, the nonprofit publisher of Consumer Reports.

Last year, the Centers for Medicare and Medicaid Services (CMS) adopted new rules that will end payments to hospitals for the extra care required to treat patients harmed by certain preventable hospital acquired conditions. Now the agency has proposed expanding the list of preventable conditions covered by the non-payment rules.

In comments submitted to the Centers for Medicare and Medicaid Services (CMS), Consumers Union said that a proposal by the agency to limit such payments would provide hospitals with a strong new financial incentive to improve patient care. Consumers Union urged CMS to strengthen the proposed regulations by expanding the types of preventable hospital acquired conditions that would result in lower Medicare payments and to clarify protections to ensure patients are treated fairly and get the care they need.

"By restricting payment for preventable medical errors and hospital acquired infections, Medicare is sending a powerful message to hospitals that harming patients will harm their bottom line," said Lisa McGiffert, Director of Consumers Union's Stop Hospital Infection's campaign (http://www.StopHospitalInfections.org). "This effort will ultimately save money and lives by motivating hospitals to follow long-standing patient safety practices that are too often ignored."

The nonpayment rules adopted by CMS last year cover certain urinary tract infections, staph aureaus bloodstream infections, and four other hospital errors unrelated to infections: serious bed sores, objects left in patients' bodies following surgery, blood incompatibility, and air embolism. These rules will go into effect on October 1.

Under the proposed regulations for 2009, Medicare would expand this policy by withholding payments to hospitals for the extra care associated with treating certain surgical site infections (specifically for total knee replacement, laparascopic gastric bypass and gastroeneterostomoy, and ligation and stripping of varicose veins); Legionnaires' disease (a type of pneumonia caused by a specific bacterium); extreme blood sugar derangement; Iatrogenic pneumothorax (collapse of the lung) delirium; ventilator-associated pneumonia; deep vein thrombosis/pulmonary embolism (formation/movement of a blood clot); staphylococcus aureus septicemia (bloodstream infection); and Clostridium difficile associated disease (a bacterium that causes severe diarrhea and more serious intestinal conditions such as colitis).

"Taxpayers spend billions of dollars every year covering the cost of preventable hospital errors and infections," said McGiffert. "Restricting Medicare payments for these hospital acquired conditions will help ensure that taxpayer dollars pay for safer and more effective health care."

Consumers Union urged CMS to expand its current proposal by adding two more hospital acquired infections to the nonpayment list: Methicillin-resistant Staphylococcus aureus (MRSA) infections, and infections associated with hip replacement surgery.

Consumers Union also recommended adding preventable readmissions to the non-payment policy. The Medicare Payment Advisory Commission found that almost 18 percent of Medicare hospital patients were readmitted within 30 days of discharge, at a cost of $15 billion to Medicare. The Commission concluded that 76 percent of readmissions after 30 days are preventable. Finally, Consumers Union urged CMS to add a disclosure component to the non-payment policy so that the public could find out which hospitals are having payments withheld because of preventable harm to patients.

When CMS adopted the initial non-payment rules last year, it included protections to prevent hospitals from billing patients when Medicare payments are withheld, and to prohibit hospitals from avoiding patients perceived to be at risk for infections. But Consumers Union raised concerns that these protections remain vague and should be clarified to ensure patients harmed by hospital acquired conditions aren't billed for the extra care associated with treating them.

"We remain concerned that there are no details regarding how Medicare intends to monitor and respond to patients who are unfairly billed or unfairly treated in these situations," said McGiffert. "Medicare should develop an expedited review process for claims from patients who have been harmed by their medical care."

A copy of Consumers Union's comment letter to CMS is available at:

http://www.consumersunion.org/campaigns/stophospitalinfections/learn.ht ml

Consumers Union, publisher of Consumer Reports, is an independent, nonprofit testing and information organization serving only the consumer. We are a comprehensive source of unbiased advice about products and services, personal finance, health, nutrition, and other consumer concerns. Since 1936, our mission has been to test products, inform the public, and protect consumers. http://www.StopHospitalInfections.org, a project of Consumers Union, advocates for public disclosure of hospital-acquired infection rates.


'/>"/>
SOURCE Consumers Union
Copyright©2008 PR Newswire.
All rights reserved

Related medicine news :

1. As Consumers Feel Financial Burden of Increasing Health Care Costs, Health Plans Have Opportunity to Address Unmet Consumer Needs and Become Trusted Advisors
2. CVS/pharmacy Makes It Easier for Consumers to Save Money and Track Spending with Health Savings and Flexible Spending Accounts
3. LeadCheck(R) Reminds Consumers that Bathtubs are Insidious Source for Dangerous Lead
4. Consumers Urged to Avoid Raw Milk and Raw Milk Products
5. Most States Fail to Protect Consumers Against Insurance Company Abuses
6. Consumers Energy and the Michigan Commission on Services to the Aging Celebrate 20 Years of Helping Older Adults
7. Consumers Urged to Avoid Certain Tomatoes Amid Salmonella Scare
8. The HealthCentral Network Acquires MedTrackAlert, Extending its Ability to Reach Highly Engaged Online Health Consumers
9. Consumers Can Purchase Majority of Tomato Varieties
10. Kaiser Permanente and Microsoft Empower Consumers to Take Charge of Their Health
11. U.S. Web Site Helps Consumers Compare Hospitals
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/5/2016)... ... May 05, 2016 , ... ... the Wharton Seminars for Business Journalists , led by the Wharton ... business and economic issues.  This one-day program at the Wharton School’s San ...
(Date:5/5/2016)... ... May 05, 2016 , ... An ... all U.S. states and certain Canadian provinces is now available from the International ... Institute (WCRI). , The report, Workers’ Compensation Laws as of January ...
(Date:5/5/2016)... Dubuque, IA (PRWEB) , ... May 05, 2016 ... ... his insurance agency’s ongoing community enrichment program serving families of greater Dubuque, IA. ... area’s active duty, reserve and honorably discharged veterans. Donations to Veteran’s Freedom Center ...
(Date:5/5/2016)... ... May 05, 2016 , ... Dr. Benjamin Stong of ... hair loss treatment. Dr. Stong is double board certified and the only facial ... the treatment of hair loss. Non-surgical therapies such as stem cells can be used ...
(Date:5/5/2016)... YORK, New York) , ... (PRWEB) May 05, 2016 , ... ... with healthcare talent acquisition startup, HireNurses, on the eve of National Nurses Week ... job seeking nurses and healthcare employers. With their enrollment into the Talent Tech Lab ...
Breaking Medicine News(10 mins):
(Date:5/3/2016)... has acquired a major investment from Sino-German High-Tech Fund to further expand product development, strengthen its disease modeling capabilities ... ... ... ... ...
(Date:5/3/2016)... Ore. , May 3, 2016   ... medical technology, today announced Food and Drug Administration ... resynchronization defibrillator that provides heart failure patients with ... Iperia devices also have remote monitoring with daily ... adapts the heart rate in response to physiological ...
(Date:5/3/2016)...   Diplomat Pharmacy, Inc. (NYSE: DPLO) announced today that it is celebrating Hepatitis Awareness Month ... patients who tell their personal story and encourage those at risk to get tested and ... C ... ... Diplomat Specialty Pharmacy (PRNewsFoto/Diplomat Pharmacy, Inc.) ...
Breaking Medicine Technology: