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CMS Proposes PPC Medicaid Payment Reductions



Provider-preventable conditions would receive a payment reduction under Medicaid, similar to the treatment of hospital-acquired conditions by the Medicare program, under a proposed rule posted by the Centers for Medicare & Medicaid Services.



2 comments on "CMS Proposes PPC Medicaid Payment Reductions"
Cody Page (3/18/2011 at 1:07 PM)

Mike, You noted that 29 states already have in place Medicaid reimbursement penalties for potentially preventable readmissions. Where did you get this information? If you can point me to a website or data source for this, I would appreciate it. Thanks!
Dan Harrah, MD (2/17/2011 at 4:34 PM)

This is clearly a case of toxic leadership. You can't legislate away infection or blood clots. Doctor's are not a bunch of idiots making sloppy mistakes all the time. Medicaid patients are sicker than the average patient due to lifestyle choices; unhealthy living rather than factors under a doctors control. Yet we get paid less for treating them already, and now you want to blame us for doing a bad job??? What will you do when doctors refuse to see these patients because we are tired of the hassle and lack of reward for taking on these difficult patietns who are way more likely to abuse prescription drugs?