CMS’ re­im­burse­ment-for-qual­ity pro­grams “capri­cious,” a reader says

Modern Healthcare - - NEWS -

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

Dearborn, Mich.

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