Medicare over(under)sight

Hospitals must report the number of hospital-originated patient infections to Centers for Medicare and Medicaid Services (CMS). This is mandated because, according to a 2016 report (paywall warning), medical errors are the 3rd leading cause of death in the U.S. No way?!? Way. Medicare is then supposed to review and investigate suspicious reports—ones that hint of under-reporting. But why would a healthcare facility under-report these figures, you ask? Because results are made public and hospitals receive financial bonuses or penalties based on their numbers. A recent investigation by the Office of the Inspector General reported that the vast majority of hospitals they sampled passed inspection, but CMS needs to rely more heavily on data analytics to identify likely offenders. If you ever think InsightCity is behaving unethically, let us know. We’ll investigate ourselves and get back to you. Trust us.

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