tci Medicare Compliance & Reimbursement - 2004 Issue 9

Long-Term Care: Are Long-Term Care Hospitals Doing Too Well?

Government probe wants CMS to re-evaluate record growth, profits.Big profits make big targets, at least as far as Medicare policy makers are concerned.And annual Medicare spending on long-term care hospitals has soared 475 percent in the last decade, reaching 1.9 billion. Add that to a 275-percent increase in the number of facilities and that could spell a cold shoulder from Congress.According to recent data from the Medicare Payment Advisory Commission, LTCHs are costing the program 4 to 5 times more than skilled nursing facilities - and for the same level of care. In a policy...

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