CMS’ reimbursement-for-quality programs “capricious,” a reader says
Your cover story on how Medicare rewards and outcomes are not always linked (“Quality paradox,” Jan. 7, p. 6) suggests that the CMS has developed standards for reimbursement for quality that exceed their rulemaking authority under the Federal Administrative Law Act. The rule is in essence “arbitrary and capricious” and not based on any evidence to support the conclusion it will indeed lower costs and improve outcomes. One wonders when the American Hospital Association will file an action to have an injunction placed against the rule.
Dr. Jay Meythaler Professor and chairman, department of physical medicine and rehabilitation-Oakwood Wayne State University School of Medicine