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Another Group of Hospitals Challenge Medicare Payment Rates for Outlier Patients


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On Friday, a group of three hospitals filed a case in District of Columbia District Court against the Department of Health and Human Services. The suit alleged systemic underpayment of inpatient stays by Medicare according to the Inpatient Prospective Payment System (IPPS).
According to the complaint, filed by Sharp Chula Vista Medical Center, Grossmont Hospital, and Sharp Memorial Hospital, the IPPS reimburses hospitals according to a formula that determines reimbursement without regard to the amount the facility actually charges for the service. The formula includes factors such as a preset difficulty level or Diagnosis Related Group, a base line cost factor, adjustments for cost of living in the area where the hospital is located, modifiers for teaching facilities, and other factors, resulting in a payment that can be reasonable for the average patient. ....

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Human smuggling boat breaks apart, killing three, and injuring 29 others in Point Loma -


DOWNTOWN (KUSI) – An investigation was continuing today into an apparent human-smuggling operation involving a boat that overturned in coastal waters near Point Loma over the weekend, killing three people and injuring more than two dozen others.
A total of 29 people survived the ocean accident, according to the U.S. Coast Guard, which Monday morning suspended its efforts to locate any other victims at sea.
The accident happened about 10 a.m. Sunday, when the 40-foot trawler-style vessel crashed into the shoreline near Cabrillo National Monument and capsized, according to the Border Patrol. All the occupants jumped in the water as the boat slowly disintegrated, a bystander’s video showed. ....

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4 Dead, 25 Injured When Boat Capsizes Off Point Loma Coast


4 Dead, 25 Injured When Boat Capsizes Off Point Loma Coast
Dana Williams and Christina Bravo
© Provided by NBC San Diego
Boat capsizes near Point Loma
Four people have died and more than two dozen people were rescued from the water off the coast of Point Loma Sunday after a vessel overturned and broke apart in a possible human smuggling operation, according to authorities.
Video Shows Boat Overturned Off Point Loma Coast
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Dozens of rescue crews responded to the 200 block of Catalina Boulevard, near the Cabrillo National Monument, at about 10:30 a.m. Sunday for the report of an overturned boat, the San Diego Fire Department said. ....

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