Trump administration launches revision of Medicare fraud rules

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NEW: Trump admin. proposes overhauling decades-old Medicare rules that were originally meant to deter fraud and abuse, but are now seen as a roadblock to coordinating better care for patients.

Officials said patients will ultimately benefit, because it should be easier to help them avoid foreseeable problems after hospitalization.

The Health and Human Services inspector general's office is involved in rewriting one of the rules, which enforces an anti-kickback statute that it oversees. The other major revision involves a rule that forbids clinicians from referring patients to facilities in which they have a financial interest. That rule is named after a law passed by former longtime Democratic Rep. Pete Stark of California.

The rules apply mainly to federal programs like Medicare and Medicaid, but their impact is felt across the health care system.Azar said the idea is to encourage hospitals, doctors and other service providers to enter into formal"value-based arrangements," in which they collaborate to improve care for patients and commit to delivering measurable results.

For example, a hospital may send a kidney patient home with technology to monitor critical health indicators and automatically transmit back any signs of problems. Under existing rules, such an arrangement could be interpreted as the hospital providing the patient an illegal"inducement" to continue using its services.Create new exceptions to the self-referral and anti-kickback rules for value-based arrangements.

 

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We are screwed. Trump admin starts messing around with medicare the funeral directors will be doing a brisk business

MAKE AMERICA WORSE AGAIN YAYYYYYYYYY !! 🤦‍♂️

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