MANAGED CARE August 1998. ©1998 Stezzi Communications
According to a Milliman & Robertson study, 55 percent of all Medicare inpatient hospital days were potentially unnecessary in 1996. Basing its calculations on its own length-of-stay and admission guidelines, M&R concluded that the average LOS could have been reduced from 6.4 to 4.1 days, and that 43 percent of admissions were unneeded... An independent auditor for the American Association of Health Plans says a third of its members are not in full compliance with its Code of Conduct, formerly the Putting Patients First initiative. AAHP offers that 95 percent comply with six of the code's seven principles, and that all promise full compliance within a year. When it launched Putting Patients First, AAHP promised to kick out members that did not adhere to its standards.