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Outlier Payments For Cardiac Surgery And Hospital Quality
Health Affairs, 07/27/09

Baser O et al. – In 2002, several hospitals in the Tenet system were accused of overbilling Medicare for cardiac surgery. This led to increased scrutiny of so–called outlier payments, which are used to compensate hospitals when actual costs far exceed those anticipated under prospective payment. These findings imply that there is potential for quality improvement to reduce costs while improving morbidity and mortality.

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Medicare Spending for Previously Uninsured Adults
Annals of Internal Medicine, 10/13/09 Relevance Score: 94%

CMS announces Medicare premiums, deductibles for 2010
American Hospital Association News, 11/13/09 Relevance Score: 93%

Cms proposes new rules for medicare advantage and prescription drug plans to better serve beneficiaries
Centers for Medicare & Medicaid Services Press, 10/26/09 Relevance Score: 91%

Medicare pricing gets new look; RUC process revisited
American Medical News, 10/23/09 Relevance Score: 91%

CMS will hold town hall meeting on Sec. 935 appeals
American Hospital Association News, 10/14/09 Relevance Score: 91%