Market mania spurs drop in hospital inpatient Medicare costs

Article Abstract:

A report by the Prospective Payment Assessment Commission indicates that the cost increase for hospitals per admission declined to 1.7% in 1993 from 5% in 1992. The report shows that in the first nine months of 1994, the costs declined 0.6%. Similar declines are being seen for Medicare treatment costs, which is significant because inpatient care accounts for over 50% of total Medicare spending. The average increase in Medicare costs per case was below the general inflation rate at 2.1% for the first three quarters of 1994.

Hospitals, Medicare A, Economic aspects, Statistics

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Lab firms fined record $187 million for Medicare fraud

Article Abstract:

The US Department of Health and Human Services recovered over $360 million from 1994 through 1996 from its Medicare fraud investigations of major independent diagnostic clinical laboratories. Laboratory Corp. of America will pay more than $180 million to settle its fraud charges and its San Diego, CA-based subsidiary, Allied Clinical Laboratories, pled guilty and will pay $5 million. Damon Clinical Laboratory will pay $119 million.

Police Protection, Medical laboratories, Medical and Diagnostic Laboratories, Fraud, Health Care Services, Investigations, Discipline, Biomedical laboratories, Medicare fraud, Laboratory Corporation of America Holdings, LH, United States. Department of Health and Human Services, Allied Clinical Laboratories Inc., Damon Clinical Laboratories Inc.

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Advisory group urges HCFA to plug gaps in RBRVS

Article Abstract:

An advisory panel of the American Medical Association is urging Medicare to adopt payment codes for physician services that are currently provided for free. For example, the group has proposed a code for overseeing patients' care plans and for providing long office or hospital care. The group proposed 561 such recommendations altogether. In 1992, 75% of the panel's recommendations were adopted by Medicare.

Management, Prices and rates, Reports, American Medical Association, Relative value scale payment systems (Medical care)

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