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UC Davis researcher advocates ending Medicare coverage of controversial mammography tool

A costly tool used on nearly all mammograms does not increase cancer detection rates and should no longer be covered by Medicare, argues Joshua Fenton, a family physician and comparative effectiveness researcher in an editorial published online in the Journal of the American Medical Association Internal Medicine. Fenton’s editorial responds to a study published in [...]

Pioneer ACO program sees modest reduction in low-value services

The Medicare Pioneer ACO (accountable care organization) program in its first year was associated with modest reductions in low-value services that provide minimal clinical benefit to patients, according to an article published online by JAMA Internal Medicine. The Medicare Pioneer ACO program puts spending for all services under a global budget with incentives to stay [...]

Observation stays over hospital admissions drives up costs for some Medicare patients

Increasing use of observation stays may lead to financial liability for Medicare patients In the midst of a growing trend for Medicare patients to receive observation care in the hospital to determine if they should be formally admitted, a new study from researchers at the Perelman School of Medicine at the University of Pennsylvania shows [...]

Report examines Medicare and Medicaid programs at 50 years and challenges ahead

Although Medicare and Medicaid are playing a role in health care payment and delivery reform innovation, it will be difficult to enact large-scale program changes because of the conflicting priorities of beneficiaries, health practitioners and organizations, and policy makers, according to an article in the July 28 issue of JAMA, a theme issue on Medicare [...]

Findings question measures used to assess hospital quality

Hospitals that were penalized more frequently in the Hospital-Acquired Condition (HAC) Reduction Program offered advanced services, were major teaching institutions and had better performance on other publicly reported process-of-care and outcome measures, according to a study in the July 28 issue of JAMA, a theme issue on Medicare and Medicaid at 50. These findings suggest [...]