American Hospital Association April 30, 2024
Eleven organizations representing health care providers, including the AHA, April 29 urged the Centers for Medicare & Medicaid Services not to hold accountable care organizations responsible for anomalous Medicare spending beyond their control, such as aberrant catheter spending, noting significantly higher spending in 2023 for two catheter codes billed by durable medical equipment suppliers. The Institute for Accountable Care analyzed Medicare claims for those codes from the CMS Virtual Research Data Center and discovered a nearly 20-fold increase over two years — from $153 million in 2021 to $3.1 billion in 2023 — with almost all of the increase attributed to...
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Topics: ACO (Accountable Care), CMS, Govt Agencies, Insurance, Medicare, Payment Models, Provider, Value Based