Doctor-Owned Hospitals Prosper Under Health Law
Even though the 2010 health law stymies their growth, these hospitals are gaining under Medicare's quality payments programs.
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Even though the 2010 health law stymies their growth, these hospitals are gaining under Medicare's quality payments programs.
These critical access hospitals, which are often in rural areas, get paid more generously by Medicare and are exempt from some federal reporting standards. But those exemptions may be hiding quality issues at the facilities.
The report suggests that cutting payments in areas that pay more per beneficiary, such as Manhattan and Florida, could hit hospitals and doctors who are not providing expensive care.
With an expanding number of groups offering a stamp of approval, consumers find a confusing array of quality awards to consider when choosing a hospital.
More than 1,200 hospitals are receiving good news
The research bolsters Medicare's efforts to prompt hospitals to reduce the number of patients who return quickly even though some experts assert that might be a sign of good care.
Some advocates are concerned that the Medicare Advantage plans have incentives to skim off the lowest-maintenance customers and leave the expensive patients to the traditional program.
A new analysis concludes that things like the prevalence of smoking, obesity and diabetes best explain why Medicare spending in some regions of the country is higher, instead of how medicine is practiced, as other researchers believe.
Hospitals complain they are bearing the brunt of sustaining payment levels for doctors but the changes in Medicare were a long time coming.
Under a program set up by the health law, payments to 1,557 hospitals will be increased, while 1,427 will drop.
Payments to hospitals are adjusted to reflect how they follow standards of care and patients' ratings of their experiences.
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