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CMS Updates Hospital Compare without Updating Evaluation Criteria

The Centers for Medicare and Medicaid Services (CMS) announced an update to the hospital compare tool to include overall hospital star ratings. The agency previously committed to updating the methodology used to compare facilities, yet this newest launch failed to include any such update. Many in the industry believe this rating system is flawed, and until CMS updates the Overall Star Rating system, the hospital compare site should be taken down.

The hospital compare tool compares hospitals based on quality and overall star rating scores. The industry argues, however, that the methodology used does not take into account differences in patient populations and misleads patients and consumers using the comparison tool.

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About this Author

Sheila Madhani, Senior Director, McDermott Consulting
Senior Director

Sheila advises clients on a wide variety of Medicare payment and regulatory issues. With more than 10 years of experience, Sheila is highly skilled in the areas of Medicare physician and hospital outpatient payment, Medicare quality programs, and the establishment and valuation of CPT® codes. Sheila has a deep understanding of emerging technology’s impact on Medicare reimbursement. She has facilitated relationships and discussions with physician specialty societies and industry stakeholders, helping to develop mutually beneficial collaborations. Sheila also has guided...

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