J. Simpson, a recurrent honoree towards the checklist

In 2011, a year after The Hills ended, he was named another very-hated celebrity in america, according to an annual market research poll. He was more hated than O. The only person above him on the list was Casey Anthony, a woman many believe killed her own daughter. (She was acquitted.)

Comprehending that, Pratt’s operate on The fresh Slopes can be considered efficiency artwork into the par that have Andy Kaufman, the new seventies anti-comical whom mostly formulated the ability of shitposting, although Kaufman’s shtick is as the a period singer. Kaufman is therefore dedicated to their novel brand of anti-funny whenever he passed away of cancer in 1984, of numerous imagine the guy staged their passing just like the a little while.

Multiple well-known males experienced their jobs finished and you may reputations permanently marred over the past decade because of revelations about their numerous years of bullying, harassing, and you can abusive behavior (intimate and you may otherwise)

Pratt try well known for blowing right up within their other shed-friends, berating her or him in public in the bars and you can clubs, and in personal, in the activities and you can during severe remain-down talks within their homes. He called their younger aunt a good “crazy cunt” at a barbecue. He banged Montag of their auto and drove away, stranding her in a parking lot. He got so angry with Jenner one night during the a pub that you might come across blood vessels sticking out out of his temple. Lees verder →

What’s the issue?

Medicare pays for inpatient services and outpatient services under separate and very different payment systems, which can produce substantially different payment amounts for similar patients receiving similar services. The cost-sharing implications for beneficiaries under the two systems can also vary significantly.

Until recently, the Centers for Medicare and Medicaid Services (CMS) had provided little guidance to hospitals on how to determine whether a particular patient should be treated on an inpatient or outpatient basis. In the absence of guidance–and in response to other CMS efforts to ensure proper payments, including creation of the Recovery Audit Program–hospitals’ shifting of services between inpatient and outpatient settings has had significant implications for the beneficiaries receiving such services and for the Medicare program as a whole.

In 2013 CMS announced the so-called two-midnight rule to clarify when it expected a patient to be designated to inpatient status. Under this rule, only patients that the doctor expects will need to spend two nights in the hospital would be considered as hospital inpatients.

This brief describes the perceived need by CMS for the two-midnight rule, how it would work, and the implications for Medicare payment. It also reviews the heated response to the rule and its current status.

What’s the background?

Hospital inpatients are patients who are admitted to the hospital to receive services and are expected to occupy a hospital bed. Outpatients are people who are not admitted to the hospital but are registered as outpatients and receive services. Lees verder →