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HFMA News - Monday, June 09, 2008

HFMA NEWS


Monday, June 09, 2008
New York Medicaid to Cease Reimbursement to Hospitals for “Never Events”

As of October, the New York State Medicaid program will deny reimbursement on 14 “never events,” announced state Health Commissioner Richard F. Daines, MD, on June 5.

Hospitals receiving payment under New York Medicaid will be required to provide information on each admission that will designate which complications were present on admission, and which ones occurred during or as a result of hospital care. Among the 14 avoidable hospital conditions that New York State Medicaid has identified as nonreimbursable are surgery performed on the wrong body part or patient, a foreign object inadvertently left in a patient after surgery, medication error, and blood incompatibility. Read the press release.

posted on 6/9/2008 7:26:24 AM (CST)  Permalink   
New NCQA Program to Evaluate Health Promotion

The National Committee for Quality Assurance (NCQA) on June 2 released for public comment proposed standards and measures for a new wellness and health promotion (WHP) product evaluation suite. The program will examine organizations that provide services to employers and health plans that seek to help employees and other participants better manage their own health. Nearly two-thirds of employers in the United States offer such services, including health coaching, smoking cessation, and obesity management programs.

The WHP product suite includes a broad-based accreditation program for organizations that offer comprehensive wellness services as well as certification for organizations that offer only specific components such as health appraisals and self-management tools. NCQA is also proposing a separate accreditation program for organizations that offer stand-alone weight management or smoking cessation programs. The WHP product suite is slated for launch in early 2009.

Members of the public are invited to comment on the measures through June 30. Read the press release.

posted on 6/9/2008 7:25:40 AM (CST)  Permalink