Medicare Nonpayment, Hospital Falls, and Unintended Consequences

doi:10.1056/NEJMp0900963

Volume 360:2390-2393		June 4, 2009		Number 23

Medicare Nonpayment, Hospital Falls, and Unintended Consequences

Sharon K. Inouye, M.D., M.P.H., Cynthia J. Brown, M.D., and Mary E. Tinetti, M.D.

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PubMed Citation

In 2005, in response to disturbing and widely cited findingsby the Institute of Medicine about the prevalence of life-threateningconditions acquired by patients in U.S. hospitals, Congressauthorized the Centers for Medicare and Medicaid Services (CMS)to implement payment changes designed to encourage the preventionof such conditions. Under an amendment to the Social SecurityAct that was enacted on January 1, 2007, the secretary of Healthand Human Services was required to identify at least two hospital-acquiredconditions by October 1, 2007, that were high-cost, high-volume,or both; that resulted in the assignment of a case to a . . . [Full Text of this Article]

Source Information

Dr. Inouye is a professor in the Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, and director of the Aging Brain Center, Institute for Aging Research, Hebrew SeniorLife — all in Boston. Dr. Brown is an assistant professor in the Department of Medicine, University of Alabama, Birmingham. Dr. Tinetti is a professor of medicine and epidemiology and public health at Yale University School of Medicine and director of the Yale Program on Aging, New Haven, CT.