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Citations

9/15/2020

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  • Payments to doctors and hospitals for reducing care under Medicare
  • Readmission penalties (detailed calculations)
  • Penalties at each hospital
  • Exemptions for military and Maryland hospitals, people under 65, without part B, etc.
  • Advocates to advise and represent patients
  • Dropping Part B
  • Checkbook.org and Center for the Study of Services, Guide to Health Plans
  • Alternative ways to cut Medicare costs or raise revenue

  • Readmissions cutting number of patients treated, and raising death rates
  • American College of Surgeons letter on penalties
  • 5 studies on lower readmissions, correlated with more deaths
  • 3 studies on palliative care, DNRs, and quicker deaths

  • Medicare 2012 and 2013 concern about "morbidity and mortality"
  • Recommendations from MedPAC in 2012 and Medicare in 2013 for nursing home penalty
  • Medicare 2009 endorsement of "end-of-life/palliative care programs" to cut costs and increase bonuses to doctors and hospitals
  • Medicare 3-5% adjustment for pre-existing patient sickness in 2008
  • MedPAC 2012 recommendation of hospice to decrease rehospitalizations
  • MedPAC 2007 report, on 2005 study of readmissions, using experimental software
  • Calculate chances of readmission for patients
  • 20%-55% reductions in care, with minimal quality control, from bonuses for reduced costs
  • 2009 Medicare estimate of "minimal" savings from first bonus program
  • CBO estimate of small cost savings from readmission penalties ($1.1 to $1.5 billion)

  • Am.Coll.of Physicians primers on medical studies (free)
  • British J of Medicine primers on medical studies (more detail, needs subscription)
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