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CMS Releases Data on Hospital Outpatient Care
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Medpagetoday.com REPORTS HERE that "the public can now review data on the quality of outpatient care provided by individual hospitals at the Centers for Medicare and Medicaid Services' Hospital Compare website HERE.   The site previously contained only data on inpatient care quality. All the data are derived from records of Medicare patients treated at more than 3,600 hospitals nationwide."

"Among the data now available for most acute-care hospitals:
  • Rates of follow-up imaging studies among women screened with mammography
  • Periprocedural antibiotic use in patients undergoing outpatient surgery
  • Aspirin administration to outpatients presenting with chest pain or heart attacks
  • Use of MRI in patients with lower back pain who had not tried physical therapy or other first-line treatments
  • Rates of "double" or combination chest or abdominal CT scans"

The American Hospital Association (AHA) noted that, although many of the new outpatient quality measures have been adopted by the Hospital Quality Alliance, the four measures regarding imaging have not....It is impossible to make judgments from the data that will be displayed by CMS on whether or not clinicians ordered too many, too few, or just the right number of imaging tests..." the AHA stated.

"A total of 11 outpatient care quality measures are now included in Hospital Compare, joining 26 measures of inpatient outcomes and processes."

"Hospital Compare also includes patient survey results for individual hospitals on 10 questions about their experiences, such as whether pain was well controlled and whether their rooms were quiet at night."
 
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U.S. government overpaid private insurance companies administering Medicare Advantage plans by as much as $3.1 billion in 2010, according to a new report from the Government Accountability Office (GAO).

About a quarter of all Medicare beneficiaries are enrolled in Medicare Advantage plans, and the Centers for Medicare and Medicaid Services (CMS) paid about $114 billion to the plans in 2010.


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