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The Centers for Medicare & Medicaid Services (CMS) will begin the Readmissions Reduction Program, which requires CMS to reduce payments to IPPS hospitals with excess readmissions, effective for discharges beginning on October 1, 2012. The regulations that implement this provision are in subpart I of 42 CFR part 412 (§412.150 through §412.154 ...
In 2009, CMS began publicly reporting readmission rates for myocardial infarction, heart failure, and pneumonia for all non-federal acute care hospitals. In an effort to use readmission as a measure of hospital quality, CMS contracted with the Yale-New Haven Services Corporation/Center for Outcomes Research and Evaluation (CORE) to develop a ...
Pay for performance systems link compensation to measures of work quality or goals. Current methods of healthcare payment may actually reward less-safe care, since some insurance companies will not pay for new practices to reduce errors, while physicians and hospitals can bill for additional services that are needed when patients are injured by mistakes. [1]
In Division 2, the Knox-Keene Health Care Service Plan Act of 1975 in Division 2. Chapter 2.2., 1340 - 1399.864, [13] which is enforced by the California Department of Managed Health Care and regulates most health insurance in California, although some plans are regulated by the California Department of Insurance (CDI) with sometimes similar "companion" statutes in the California Insurance ...
Advocate Health Care, an accountable care organization in Chicago, Illinois, implemented a nutrition care program at four of its Chicago area hospitals, an initiative that resulted in more than $4.8 million in cost savings within 6 months due to shorter hospital states and lower readmission rates (reduced 30 day readmission rates by 27% and the ...
An enlargeable map of the 58 counties of the state of California. This is a list of hospitals in California (), grouped by county and sorted by hospital name. In healthcare in California, only a general acute care hospital or acute psychiatric hospital, as licensed by the California Department of Public Health, can be referred to as a "hospital."
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It began in 1897 with the Burnett Sanitarium, which was sold to the nonprofit corporation Fresno Community Hospital in 1945. [5] Community Regional Medical Center is one of 15 level I trauma centers in California. [6] [7] In 2018, it had the eighth-most Medicare inpatient discharges in California, of 808 total. [8]