A California healthcare system has become the latest dropout from the Pioneer Accountable Care Organization program, despite reducing skilled nursing facility utilization and improving its readmission rates. Sharp HealthCare announced its decision in a quarterly financial statement released Tuesday.
A leader in Congress has called for an evaluation of the nursing home five-star rating system in light of a recent New York Times article. Rep. Elijah Cummings (D-MD) requested that Centers for Medicare & Medicaid Services officials brief his staff by Sept. 16. One area of concern is the heavy reliance on nursing homes’ self-reported data about staffing levels and quality of care, which may not be regularly audited for accuracy, Cummings stated in his Aug. 26 letter to CMS Administrator Marilyn Tavenner.