Squeezed to Death - National Nurses United
rates and benefits compared with freestanding facilities, which often ... With the advent of HMOs and when the Centers for Medicare and Medi-caid Services (CMS) in the 1980s changed its payment system from a fee-for-service to flat-fee model through its prospective pay- ... er-paying RUGs and that a number of facilities had suspect billing. ................
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