Monday, August 4, 2008

Medicare Expands List of ‘No-Pay’ Hospital Conditions

Posted by Jacob Goldstein in Wall Street Journal Health Blog The list of hospital treatments that Medicare won’t pay for is growing, but not by as much as the feds initially suggested it might. The Centers for Medicare and Medicaid Services said last year it would stop paying to treat certain complications it said were preventable with good care. (We described the initial list in this post.) Earlier this year, CMS said it could add nine more complications to the list.

CMS said yesterday that after considering public comments, it was adding three conditions:

  • Blood clots in patients after surgery for knee and hip replacements
  • Surgical site infections after certain elective procedures, including some orthopedic surgeries and bariatric surgery
  • Certain major problems that result from failing to control blood sugar levels after a patient is hospitalized

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