The Joint Commission is a United States-based nonprofit tax-exempt 501(c) organization that accredits more than 22,000 US health care organizations and programs. The international branch accredits medical services from around the world.
129-581: A majority of US state governments recognize Joint Commission accreditation as a condition of licensure for the receipt of Medicaid and Medicare reimbursements. The Joint Commission is based in the Chicago suburb of Oakbrook Terrace, Illinois . The Joint Commission was formerly the Joint Commission on Accreditation of Healthcare Organizations ( JCAHO ) and previous to that the Joint Commission on Accreditation of Hospitals ( JCAH ). The Joint Commission
258-528: A "free appropriate public education" under Section 504 of The Rehabilitation Act of 1973. Decisions by the United States Supreme Court and subsequent changes in federal law require states to reimburse part or all of the cost of some services provided by schools for Medicaid-eligible disabled children. The Affordable Care Act (ACA), passed in 2010, substantially expanded the Medicaid program. Before
387-466: A challenging process for any healthcare provider. At a minimum, a hospital must be completely familiar with the current standards; examine current processes, policies, and procedures relative to the standards; and prepare to improve any areas that are not currently in compliance. The hospital must be in compliance with the standards for at least four months prior to the initial survey. The hospital should also be in compliance with applicable standards during
516-603: A columnist. In 2018, Khashoggi was murdered by Saudi agents in Istanbul . In October 2023, the Post announced it would cut 240 jobs across the organization by offering voluntary separation packages to employees. In a staff-wide email announcing the job cuts, interim CEO Patty Stonesifer wrote, "Our prior projections for traffic, subscriptions and advertising growth for the past two years — and into 2024 — have been overly optimistic". The Post has lost around 500,000 subscribers since
645-485: A former Democratic congressman from Ohio. To promote the newspaper, the new owners requested the leader of the United States Marine Band , John Philip Sousa , to compose a march for the newspaper's essay contest awards ceremony. Sousa composed " The Washington Post ". It became the standard music to accompany the two-step, a late 19th-century dance craze, and remains one of Sousa's best-known works. In 1893,
774-511: A front-page story which advertised the location at which white servicemen were planning to meet to carry out attacks on black Washingtonians. In 1929, financier Eugene Meyer , who had run the War Finance Corp. since World War I , secretly made an offer of $ 5 million for the Post, but he was rebuffed by Ned McLean. On June 1, 1933, Meyer bought the paper at a bankruptcy auction for $ 825,000 three weeks after stepping down as Chairman of
903-661: A joint survey process with state authorities. There are also other healthcare accreditation organizations in the U.S. unrelated to The Joint Commission. These include Accreditation Commission for Health Care , Inc. (ACHC), the American Osteopathic Association (AOA), the Commission on Accreditation of Rehabilitation Facilities (CARF), the Community Health Accreditation Program (CHAP), the "Exemplary Provider Program" of The Compliance Team ,
1032-405: A major rebranding and simplified its name to The Joint Commission . The rebranding included the name, logo, and tag line change to "Helping Health Care Organizations Help Patients." The change was part of an effort to make the name more memorable and to assist the commission in its continued responsiveness to the needs of organizations seeking fee-based accreditation. The Joint Commission advocates
1161-497: A major role in the resignation of President Richard Nixon , won the newspaper a Pulitzer Prize in 1973. In 1972, the "Book World" section was introduced with Pulitzer Prize-winning critic William McPherson as its first editor. It featured Pulitzer Prize-winning critics such as Jonathan Yardley and Michael Dirda , the latter of whom established his career as a critic at the Post . In 2009, after 37 years, with great reader outcries and protest, The Washington Post Book World as
1290-496: A program called Access to Baby and Child Dentistry (ABCD) has helped increase access to dental services by providing dentists higher reimbursements for oral health education and preventive and restorative services for children. After the passing of the Affordable Care Act , many dental practices began using dental service organizations to provide business management and support, allowing practices to minimize costs and pass
1419-429: A pseudonym. His wife Agnes Ernst Meyer was a journalist from the other end of the spectrum politically. The Post ran many of her pieces including tributes to her personal friends John Dewey and Saul Alinsky . In 1946, Meyer was appointed head of World Bank , and he named his son-in-law Phil Graham to succeed him as Post publisher. The post-war years saw the developing friendship of Phil and Kay Graham with
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#17330937576211548-472: A risk of serious injury or death to patients. In 2001, the Joint Commission mandated that health care providers assess every patient's pain during each clinical encounter on a scale of 0 to 10. This created an expectation that health care providers lower the pain of patients, leading health care providers to increasingly use opioids . Critics of the Joint Commission attribute a role for the organization in
1677-449: A series of individual stories..." He has been described as a "hands-off owner", holding teleconference calls with executive editor Martin Baron every two weeks. Bezos appointed Fred Ryan (founder and CEO of Politico ) to serve as publisher and chief executive officer. This signaled Bezos' intent to shift the Post to a more digital focus with a national and global readership. In 2015,
1806-584: A significant proportion of Medicaid enrollees. As of 2014, 26 states have contracts with managed care organizations (MCOs) to deliver long-term care for the elderly and individuals with disabilities. The states pay a monthly capitated rate per member to the MCOs, which in turn provide comprehensive care and accept the risk of managing total costs. Nationwide, roughly 80% of Medicaid enrollees are enrolled in managed care plans. Core eligibility groups of low-income families are most likely to be enrolled in managed care, while
1935-531: A standalone insert was discontinued, the last issue being Sunday, February 15, 2009, along with a general reorganization of the paper, such as placing the Sunday editorials on the back page of the main front section rather than the "Outlook" section and distributing some other locally oriented "op-ed" letters and commentaries in other sections. However, book reviews are still published in the Outlook section on Sundays and in
2064-568: A story about his past ties to a phone hacking scandal, have further shaken the newsroom's morale. Lewis continues to grapple with declining revenue and audience on the business front, seeking strategies to regain subscribers lost since the Trump era. Later that month, the paper ran a story allegedly exposing a connection between incoming editor Robert Winnett and John Ford, a man who "admitted to an extensive career using deception and illegal means to obtain confidential information." Winnett withdrew from
2193-505: Is a mandatory Medicaid program for children that focuses on prevention, early diagnosis and treatment of medical conditions. Oral screenings are not required for EPSDT recipients, and they do not suffice as a direct dental referral. If a condition requiring treatment is discovered during an oral screening, the state is responsible for paying for this service, regardless of whether or not it is covered on that particular Medicaid plan. Children enrolled in Medicaid are individually entitled under
2322-403: Is a program that is not solely funded at the federal level. States provide up to half of the funding for Medicaid. In some states, counties also contribute funds. Unlike Medicare, Medicaid is a means-tested , needs-based social welfare or social protection program rather than a social insurance program. Eligibility is determined largely by income. The main criterion for Medicaid eligibility
2451-401: Is a universal program providing health coverage for the elderly. Medicaid offers elder care benefits not normally covered by Medicare, including nursing home care and personal care services. There are also dual health plans for people who have both Medicaid and Medicare. Along with Medicare, Tricare , and ChampVA , Medicaid is one of the four government-sponsored medical insurance programs in
2580-450: Is also a major new component of the NPSGs. The Universal Protocol to reduce surgical errors and existing regulations on medication reconciliation have been modified for 2009, based on feedback received by The Joint Commission. Joint Commission International , or JCI is one group that provides international health care accreditation services to hospitals around the world and brings income into
2709-524: Is defined vary from state to state. As of 2019, when Medicaid has been expanded under the PPACA, eligibility is determined by an income test using Modified Adjusted Gross Income , with no state-specific variations and a prohibition on asset or resource tests. While Medicaid expansion available to adults under the PPACA mandates a standard income-based test without asset or resource tests, other eligibility criteria such as assets may apply when eligible outside of
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#17330937576212838-454: Is growing concern, however, over the lack of verifiable progress towards meeting the organization's stated goals. Although The Joint Commission increasingly cites and demands "evidence-based medicine" in its regulatory requirements, there is a relative paucity of evidence demonstrating any significant quality improvement due to its efforts, while there is a growing body of literature showing no improvement or actual deterioration in quality despite
2967-564: Is in Washington, D.C., and its suburbs in Maryland and Northern Virginia. The newspaper's 21 current foreign bureaus are in Baghdad , Beijing , Beirut , Berlin , Brussels , Cairo , Dakar , Hong Kong , Islamabad , Istanbul , Jerusalem , London , Mexico City , Moscow , Nairobi , New Delhi , Rio de Janeiro , Rome , Seoul , Tokyo , and Toronto . In November 2009, the newspaper announced
3096-413: Is largely consistent by state, and requirements on how to qualify or what benefits are provided are standard. However AFDC has differing eligibility standards that depend on: Beyond the variance in eligibility and coverage between states, there is a large variance in the reimbursements Medicaid offers to care providers; the clearest examples of this are common orthopedic procedures . For instance, in 2013,
3225-626: Is limited income and financial resources, a criterion which plays no role in determining Medicare coverage. Medicaid covers a wider range of health care services than Medicare. Some people are eligible for both Medicaid and Medicare and are known as Medicare dual eligible or medi-medi's. In 2001, about 6.5 million people were enrolled in both Medicare and Medicaid. In 2013, approximately 9 million people qualified for Medicare and Medicaid. There are two general types of Medicaid coverage. "Community Medicaid" helps people who have little or no medical insurance. Medicaid nursing home coverage helps pay for
3354-408: Is not a complete monopoly, and while many states in the U.S. make use of their services, they are not used by all. Some states have set up their own alternative assessment procedures; The Joint Commission is not recognized for state licensure in the states of Oklahoma (except for hospital-based outpatient mental health services), Pennsylvania, and Wisconsin. In California, The Joint Commission is part of
3483-536: Is the largest source of funding for medical and health-related services for people with low income in the United States, providing free health insurance to 85 million low-income and disabled people as of 2022; in 2019, the program paid for half of all U.S. births. As of 2017, the total annual cost of Medicaid was just over $ 600 billion, of which the federal government contributed $ 375 billion and states an additional $ 230 billion. States are not required to participate in
3612-520: Is to promote specific improvements in patient safety. The NPSGs highlight problematic areas in health care and describe evidence and expert-based solutions to these problems. Recognizing that sound system design is intrinsic to the delivery of safe, high quality health care. The Goals focus on system-wide solutions, wherever possible. The NPSGs have become a critical method by which The Joint Commission promotes and enforces major changes in patient safety or thousands of participating health care organizations in
3741-526: Is worse than that of people with higher income. The Census Bureau reported in September 2019 that states that expanded Medicaid under ACA had considerably lower uninsured rates than states that did not. For example, for adults between 100% and 399% of poverty level, the uninsured rate in 2018 was 12.7% in expansion states and 21.2% in non-expansion states. Of the 14 states with uninsured rates of 10% or greater, 11 had not expanded Medicaid. A July 2019 study by
3870-675: The Los Angeles Times , and The Wall Street Journal . The Post has distinguished itself through its political reporting on the workings of the White House, Congress, and other aspects of the U.S. government. It is considered a newspaper of record in the U.S. The Washington Post does not print an edition for distribution away from the East Coast . In 2009, the newspaper ceased publication of its National Weekly Edition due to shrinking circulation. The majority of its newsprint readership
3999-410: The 2008–2009 recession resulted in a substantial increase in Medicaid enrollment in 2009. Nine U.S. states showed an increase in enrollment of 15% or more, putting a heavy strain on state budgets. The Kaiser Family Foundation reported that for 2013, Medicaid recipients were 40% white, 21% black, 25% Hispanic, and 14% other races. Unlike Medicaid, Medicare is a social insurance program funded at
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4128-654: The Healthcare Facilities Accreditation Program (HFAP), the National Commission on Correctional Health Care, Utilization Review Accreditation Commission (URAC), The National Dialysis Accreditation Commission and the Healthcare Quality Association on Accreditation (HQAA) who are recognised in the state of Ohio. The Healthcare Facilities Accreditation Program (HFAP) has been in operation since 1945. On September 26, 2008,
4257-562: The Post for two years before selling it in 1905 to John Roll McLean , owner of the Cincinnati Enquirer . During the Wilson presidency, the Post was credited with the "most famous newspaper typo " in D.C. history according to Reason magazine; the Post intended to report that President Wilson had been "entertaining" his future-wife Mrs. Galt, but instead wrote that he had been "entering" Mrs. Galt. When McLean died in 1916, he put
4386-516: The Post moved from the building it owned at 1150 15th Street to a leased space three blocks away at One Franklin Square on K Street . Since 2014 the Post has launched an online personal finance section, a blog, and a podcast with a retro theme. The Post won the 2020 Webby People's Voice Award for News & Politics in the Social and Web categories. In 2017, the newspaper hired Jamal Khashoggi as
4515-533: The Post with two remaining local competitors, the Washington Star ( Evening Star ) and The Washington Daily News . In 1972, the two competitors merged, forming the Washington Star-News. Following Graham's death in 1963, control of The Washington Post Company passed to his wife, Katharine Graham (1917–2001), who was also Eugene Meyer's daughter. Few women had run prominent national newspapers in
4644-459: The Post has 135,980 print subscribers and 2.5 million digital subscribers, both of which are the third-largest among U.S. newspapers after The New York Times and The Wall Street Journal . The Post was founded in 1877. In its early years, it went through several owners and struggled both financially and editorially. In 1933, financier Eugene Meyer purchased it out of bankruptcy in 1933 and revived its health and reputation; this work
4773-608: The Post 's average printed weekday circulation is 139,232, making it the third largest newspaper in the country by circulation. For many decades, the Post had its main office at 1150 15th Street NW. This real estate remained with Graham Holdings when the newspaper was sold to Jeff Bezos' Nash Holdings in 2013. Graham Holdings sold 1150 15th Street, along with 1515 L Street, 1523 L Street, and land beneath 1100 15th Street, for $ 159 million in November 2013. The Post continued to lease space at 1150 L Street NW. In May 2014, The Post leased
4902-520: The Supplemental Security Income (SSI) program for the aged, blind and disabled. States are required under federal law to provide all AFDC and SSI recipients with Medicaid coverage. Because eligibility for AFDC and SSI essentially guarantees Medicaid coverage, examining eligibility/coverage differences per state in AFDC and SSI is an accurate way to assess Medicaid differences as well. SSI coverage
5031-562: The Watergate scandal and the 1974 resignation of President Richard Nixon . In October 2013, the Graham family sold the newspaper to Nash Holdings , a holding company owned by Jeff Bezos , for $ 250 million. As of 2024, the newspaper had won the Pulitzer Prize 76 times for its work, the second-most of any publication after The New York Times . It is considered a newspaper of record in
5160-454: The "aged" and "disabled" eligibility groups more often remain in traditional " fee for service " Medicaid. Because service level costs vary depending on the care and needs of the enrolled, a cost per person average is only a rough measure of actual cost of care. The annual cost of care will vary state to state depending on state approved Medicaid benefits, as well as the state specific care costs. A 2014 Kaiser Family Foundation report estimates
5289-510: The 10% contribution in 2020. Some studies suggested that rejecting the expansion would cost more due to increased spending on uncompensated emergency care that otherwise would have been partially paid for by Medicaid coverage. A 2016 study found that residents of Kentucky and Arkansas , which both expanded Medicaid, were more likely to receive health care services and less likely to incur emergency room costs or have trouble paying their medical bills. Residents of Texas , which did not accept
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5418-416: The 1980s, many states received waivers from the federal government to create Medicaid managed care programs. Under managed care, Medicaid recipients are enrolled in a private health plan, which receives a fixed monthly premium from the state. The health plan is then responsible for providing for all or most of the recipient's healthcare needs. Today, all but a few states use managed care to provide coverage to
5547-465: The Affordable Care Act was a federally-funded increase in 2013 and 2014 in Medicaid payments to bring them up to 100% of equivalent Medicare payments, in an effort to increase provider participation. Most states did not subsequently continue this provision. In 2002, Medicaid enrollees numbered 39.9 million Americans, with the largest group being children (18.4 million or 46%). From 2000 to 2012,
5676-724: The Centers for Medicare and Medicaid Services (CMS) granted deeming authority for hospitals to DNV Healthcare Inc. (DNVHC), an operating company of Det Norske Veritas (DNV), a Norwegian international company that has been operating in the U.S. since 1898. The Center for Improvement in Healthcare Quality (CIHQ), based in Round Rock, Texas, was granted deeming authority for hospitals by the CMS In July 2013. The stated mission of The Joint Commission is: "To continuously improve health care for
5805-511: The Federal Reserve . He had bid anonymously, and was prepared to go up to $ 2 million, far higher than the other bidders. These included William Randolph Hearst , who had long hoped to shut down the ailing Post to benefit his own Washington newspaper presence. The Post 's health and reputation were restored under Meyer's ownership. In 1946, he was succeeded as publisher by his son-in-law, Philip Graham . Meyer eventually gained
5934-596: The Federal government, although states would need to pay for 10% of those costs by 2020. However, in 2012, the Supreme Court held in National Federation of Independent Business v. Sebelius that withdrawing all Medicaid funding from states that refused to expand eligibility was unconstitutionally coercive. States could choose to maintain pre-existing levels of Medicaid funding and eligibility, and some did; over half
6063-774: The Hospital Standardization Program with similar programs run by the American College of Physicians , the American Hospital Association , the American Medical Association , and the Canadian Medical Association . In 1987 the company was renamed the Joint Commission on Accreditation of Healthcare Organizations (JCAHO, pronounced "Jay-co"). In 2007 the Joint Commission on Accreditation of Healthcare Organizations underwent
6192-458: The Joint Commission's hospital accreditation program would be subject to Centers for Medicare and Medicaid Services (CMS) requirements for organizations seeking accrediting authority. To avoid a lapse in accrediting authority, the Joint Commission would have to submit an application for hospital accrediting authority consistent with these requirements and within a time frame that would enable CMS to review and evaluate their submission. CMS would make
6321-696: The Kennedys, the Bradlees and the rest of the " Georgetown Set", including many Harvard University alumni that would color the Post's political orientation. Kay Graham's most memorable Georgetown soirée guest list included British diplomat and communist spy Donald Maclean . The Post is credited with coining the term " McCarthyism " in a 1950 editorial cartoon by Herbert Block . Depicting buckets of tar, it made fun of Sen. Joseph McCarthy 's "tarring" tactics, i.e., smear campaigns and character assassination against those targeted by his accusations. Sen. McCarthy
6450-722: The Medicaid expansion, did not see a similar improvement during the same period. Kentucky opted for increased managed care, while Arkansas subsidized private insurance. Later, Arkansas and Kentucky governors proposed reducing or modifying their programs. From 2013 to 2015, the uninsured rate dropped from 42% to 14% in Arkansas and from 40% to 9% in Kentucky, compared with 39% to 32% in Texas. A 2016 DHHS study found that states that expanded Medicaid had lower premiums on exchange policies because they had fewer low-income enrollees, whose health, on average,
6579-560: The National Bureau of Economic Research (NBER) indicated that states enacting Medicaid expansion exhibited statistically significant reductions in mortality rates. The ACA was structured with the assumption that Medicaid would cover anyone making less than 133% of the Federal poverty level throughout the United States; as a result, premium tax credits are only available to individuals buying private health insurance through exchanges if they make more than that amount. This has given rise to
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#17330937576216708-461: The PPACA expansion, including coverage for eligible seniors or disabled. These other requirements include, but are not limited to, assets, age, pregnancy, disability, blindness, income, and resources, and one's status as a U.S. citizen or a lawfully admitted immigrant . As of 2015, asset tests varied; for example, eight states did not have an asset test for a buy-in available to working people with disabilities, and one state had no asset test for
6837-598: The Social Security Act of 1935 and became effective on January 1, 1991. This program was formed due to the costs that Medicaid programs were paying for discount price outpatient drugs. The Omnibus Budget Reconciliation Act of 1993 (OBRA-93) amended Section 1927 of the Act, bringing changes to the Medicaid Drug Rebate Program. It requires states to implement a Medicaid estate recovery program to recover from
6966-589: The Style section the rest of the week, as well as online. In 1975, the pressmen's union went on strike . The Post hired replacement workers to replace the pressmen's union, and other unions returned to work in February 1976. Donald E. Graham , Katharine's son, succeeded her as a publisher in 1979. In 1995, the domain name washingtonpost.com was purchased. That same year, a failed effort to create an online news repository called Digital Ink launched. The following year it
7095-499: The U.S. Post journalists have received 18 Nieman Fellowships and 368 White House News Photographers Association awards. The paper is well known for its political reporting and is one of the few remaining American newspapers to operate foreign bureaus , with international breaking news hubs in London and Seoul . The Washington Post is regarded as one of the leading daily American newspapers along with The New York Times ,
7224-433: The U.S. All member health care organizations are subject to a three-year accreditation cycle, and laboratories are surveyed every two years. The organization does not make its hospital survey findings public. However, it does provide the organization's accreditation decision, the date that accreditation was awarded, and any standards that were cited for improvement. Organizations deemed to be in compliance with all or most of
7353-613: The U.S.-based parent organization. This not-for-profit tax-exempt private corporation (a 501(c) organization ) currently accredits hospitals in Asia, Europe, the Middle East, Africa, and South America and is seeking to expand its business further. The JCI has a small staff which includes principal consultants and a number of other consultants from around the world. JCI quotes an average fee of $ 46,000 per year to maintain accreditation, plus travel and other costs. For hospital to be successful in
7482-414: The United States and around the world. The 2009 NPSGs included regulations targeting the spread of infection due to multidrug-resistant organisms, catheter-related bloodstream infections (CRBSI), and surgical site infections (SSI). The new regulations for CRBSI and SSI prevention apply not only to hospitals, but also to ambulatory care and ambulatory surgery centers. Engaging patients in patient safety efforts
7611-488: The United States. In her autobiography, Katharine Graham described her own anxiety and lack of confidence when she stepped into a leadership role. She served as publisher from 1969 to 1979. Graham took The Washington Post Company public on June 15, 1971, in the midst of the Pentagon Papers controversy. A total of 1,294,000 shares were offered to the public at $ 26 per share. By the end of Graham's tenure as CEO in 1991,
7740-967: The United States. The U.S. Centers for Medicare & Medicaid Services in Baltimore , Maryland provides federal oversight. Research shows that existence of the Medicaid program improves health outcomes, health insurance coverage, access to health care, and recipients' financial security and provides economic benefits to states and health providers. Medicaid expansion has enhanced access to healthcare services. Studies have shown improved self-reported health following expansion and an association between expansion and certain positive health outcomes. Expanding Medicaid has been associated with significant declines in mortality related to specific conditions, including various types of cancer, cardiovascular disease, and liver disease. Additionally, studies have found decreased maternal mortality and, in some cases, reductions in infant mortality among certain populations. Beginning in
7869-608: The Vietnam War in 1971 when it published the Pentagon Papers . In the mid-1970s, some conservatives referred to the Post as " Pravda on the Potomac " because of its perceived left-wing bias in both reporting and editorials. Since then, the appellation has been used by both liberal and conservative critics of the newspaper. In the PBS documentary Buying the War , journalist Bill Moyers said in
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#17330937576217998-518: The War. In 1902, Berryman published another famous cartoon in the Post – Drawing the Line in Mississippi . This cartoon depicts President Theodore Roosevelt showing compassion for a small bear cub and inspired New York store owner Morris Michtom to create the teddy bear. Wilkins acquired Hatton's share of the newspaper in 1894 at Hatton's death. After Wilkins' death in 1903, his sons John and Robert ran
8127-518: The accreditation process, there may be additional costs related to consultancy work prior to accreditation. International accreditors incur different levels of costs with some costing less than JCI. A Harvard University -led research study published in the BMJ found that U.S. hospital accreditation by independent organizations was not associated with lower mortality or with reduced readmission rates for common medical conditions. The authors concluded that there
8256-467: The acquisition. The combined newspaper was published from the Globe Building as The Washington Post and Union beginning on April 15, 1878, with a circulation of 13,000. The Post and Union name was used about two weeks until April 29, 1878, returning to the original masthead the following day. In 1889, Hutchins sold the newspaper to Frank Hatton , a former Postmaster General, and Beriah Wilkins ,
8385-530: The aged/blind/disabled pathway up to 100% of the Federal Poverty Level . The Washington Post The Washington Post , locally known as The Post and, informally, WaPo or WP , is an American daily newspaper published in Washington, D.C. , the national capital. It is the most widely circulated newspaper in the Washington metropolitan area and has a national audience. As of 2023,
8514-445: The applicable standards are awarded the decision of Accreditation. The unannounced full survey is a key component of The Joint Commission accreditation process. "Unannounced" means the organization does not receive advanced notice of its survey date. The Joint Commission began conducting unannounced surveys on January 1, 2006. Surveys occur 18 to 39 months after the organization's previous unannounced survey. There has been criticism in
8643-473: The appointment of two white men to top editorial positions have sparked internal discontent, particularly given the lack of consideration for the Post's senior female editors. Additionally, Lewis' proposed division for social media and service journalism has met with resistance from staff. Recent reports alleging Lewis' attempts to influence editorial decisions, including pressuring NPR 's media correspondent to drop
8772-665: The average difference in reimbursement for 10 common orthopedic procedures in the states of New Jersey and Delaware was $ 3,047. The discrepancy in the reimbursements Medicaid offers may affect the type of care provided to patients. In general, Medicaid plans pay providers significantly less than commercial insurers or Medicare would pay for the same care, paying around 67% as much as Medicare would for primary care and 78% as much for other services. This disparity has been linked to lower provider rates of participation in Medicaid programs vs Medicare or commercial insurance, and thus decreased access to care for Medicaid patients. One component of
8901-485: The change was given by TJC or COLA. TJC had originally begun recognizing COLA accreditation in 1997. Medicaid In the United States , Medicaid is a government program that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by state governments, which also have wide latitude in determining eligibility and benefits, but
9030-416: The closure of three U.S. regional bureaus in Chicago , Los Angeles and New York City , as part of an increased focus on Washington, D.C. –based political stories and local news. The newspaper has local bureaus in Maryland (Annapolis, Montgomery County, Prince George's County, and Southern Maryland) and Virginia (Alexandria, Fairfax, Loudoun County, Richmond, and Prince William County). As of March 2023,
9159-509: The cost of expansion was $ 6,366 per person for 2015, about 49 percent above previous estimates. An estimated 9 to 10 million people had gained Medicaid coverage, mostly low-income adults. The Kaiser Family Foundation estimated in October 2015 that 3.1 million additional people were not covered in states that rejected the Medicaid expansion. In some states that chose not to expand Medicaid, income eligibility thresholds are significantly below 133% of
9288-576: The cost of living in a nursing home for those who are eligible; the recipient also pays most of his/her income toward the nursing home costs, usually keeping only $ 66.00 a month for expenses other than the nursing home. Some states operate a program known as the Health Insurance Premium Payment Program (HIPP). This program allows a Medicaid recipient to have private health insurance paid for by Medicaid. As of 2008 relatively few states had premium assistance programs and enrollment
9417-508: The cost of private coverage. Certain groups of people, such as migrants, face more barriers to health care than others due to factors besides policy, such as status, transportation and knowledge of the healthcare system (including eligibility). Medicaid eligibility policies are very complicated. In general, a person's Medicaid eligibility is linked to their eligibility for Aid to Families with Dependent Children (AFDC), which provides aid to children whose families have low or no income, and to
9546-420: The decision to grant deeming authority and determine the term. The Joint Commission's predecessor organization grew from the efforts of Ernest Codman to promote hospital reform based on outcomes management in patient care. Codman's efforts led to the founding of the American College of Surgeons Hospital Standardization Program. In 1951 the Joint Commission on Accreditation of Hospitals was created by merging
9675-400: The end of 2020 and was set to lose $ 100 million in 2023, according to The New York Times . The layoffs prompted Dan Froomkin of Presswatchers to suggest that the decline in readership could be reversed by focusing on the rise of authoritarianism (in a fashion similar to the role the Post played during the Watergate scandal ) instead of staying strictly neutral, which Froomkin says places
9804-426: The entire company revenue stream. Executive editor Ben Bradlee put the newspaper's reputation and resources behind reporters Bob Woodward and Carl Bernstein , who, in a long series of articles, chipped away at the story behind the 1972 burglary of Democratic National Committee offices in the Watergate complex in Washington. The Post 's dogged coverage of the story, the outcome of which ultimately played
9933-642: The entire period of accreditation, which means that surveyors will look for a full three years of implementation for several standards-related issues. Behavioral health organizations looking to be accredited under the standards outlined in the Comprehensive Accreditation Manual for Behavioral Health Care (CAMBHC) do not have the same requirements around compliance with applicable standards for any period of time leading up to an initial survey for accreditation. The Joint Commission also provides behavioral health organizations that are being surveyed for
10062-472: The estate of deceased beneficiaries the long-term-care-related costs paid by Medicaid, and gives states the option of recovering all non-long-term-care costs, including full medical costs. Medicaid also offers a Fee for Service (Direct Service) Program to schools throughout the United States for the reimbursement of costs associated with the services delivered to students with special education needs. Federal law mandates that children with disabilities receive
10191-422: The exact qualifications vary by state. Medicaid spent $ 215 billion on such care in 2020, over half of the total $ 402 billion spent on such services. Of the 7.7 million Americans who used long-term services and supports in 2020, about 5.6 million were covered by Medicaid, including 1.6 million of the 1.9 million in institutional settings. Medicaid covers healthcare costs for people with low incomes, while Medicare
10320-475: The federal poverty line qualifies for Medicaid coverage under the provisions of the ACA. A 2012 Supreme Court decision established that states may continue to use pre-ACA Medicaid eligibility standards and receive previously established levels of federal Medicaid funding; in states that make that choice, income limits may be significantly lower, and able-bodied adults may not be eligible for Medicaid at all. Medicaid
10449-478: The federal government sets baseline standards for state Medicaid programs and provides a significant portion of their funding. Medicaid was established in 1965, part of the Great Society set of programs during President Lyndon B. Johnson’s Administration , and was significantly expanded by the Affordable Care Act (ACA), which was passed in 2010. In most states, any member of a household with income up to 142% of
10578-559: The federal level and focuses primarily on the older population. Medicare is a health insurance program for people age 65 or older, people under age 65 with certain disabilities, and (through the End Stage Renal Disease Program ) people of all ages with end-stage renal disease . The Medicare Program provides a Medicare part A covering hospital bills, Medicare Part B covering medical insurance coverage, and Medicare Part D covering purchase of prescription drugs . Medicaid
10707-733: The first time with a 30-day notice of their survey date, however, future surveys are unannounced. The Joint Commission and JCI employ salaried individuals as surveyors who generally work or have worked within health care services but are able to devote half or less of their time for the accrediting organization. The surveyors travel to health care organizations to evaluate their operational practices and facilities against established Joint Commission standards and elements of performance. Substantial time and resources are devoted by health care organizations ranging from medical equipment suppliers and staffing firms to tertiary care academic medical centers to prepare for and undergo Joint Commission surveys. There
10836-426: The form of waivers for certain Medicaid requirements so long as they follow certain objectives. In its implementation, this has meant using Medicaid funds to pay for low-income citizens' health insurance; this private-option was originally carried out in Arkansas but was adopted by other Republican-led states. However, private coverage is more expensive than Medicaid and the states would not have to contribute as much to
10965-497: The generalized hypothesis that Democrats favor generous eligibility policies while Republicans do not. When the Supreme Court allowed states to decide whether to expand Medicaid or not in 2012, northern states, in which Democratic legislators predominated, disproportionately did so, often also extending existing eligibility. Certain states in which there is a Republican-controlled legislature may be forced to expand Medicaid in ways extending beyond increasing existing eligibility in
11094-577: The increasingly stringent and expensive requirements. A facility requesting accreditation pays a substantial fee to the Joint Commission (the "accrediting" agency) and, upon receiving a "passing" grade, is able to purchase associated mementos of accomplishment to display to the public. The nonprofit's revenue was $ 147M in 2013, and in that fiscal year, it paid its CEO more than $ 1M. Hospitals pay The Joint Commission up to $ 37,000 in fees annually to maintain their accreditation status. Inspections cost approximately $ 18,000 every three years. The Joint Commission
11223-430: The industries it inspects, has been the target of criticism about the validity of its evaluations." The Joint Commission over time has responded to these criticisms. However, when it comes to the international dimension, surveys undertaken by JCI still take place at a time known in advance by the hospitals being surveyed, often after considerable preparation by those hospitals. Preparing for a Joint Commission survey can be
11352-572: The last laugh over Hearst, who had owned the old Washington Times and the Herald before their 1939 merger that formed the Times-Herald . This was in turn bought by and merged into the Post in 1954. The combined paper was officially named The Washington Post and Times-Herald until 1973, although the Times-Herald portion of the nameplate became less and less prominent over time. The merger left
11481-483: The law to comprehensive preventive and restorative dental services, but dental care utilization for this population is low. The reasons for low use are many, but a lack of dental providers who participate in Medicaid is a key factor. Few dentists participate in Medicaid – less than half of all active private dentists in some areas. Cited reasons for not participating are low reimbursement rates, complex forms and burdensome administrative requirements. In Washington state,
11610-429: The law was passed, some states did not allow able-bodied adults to participate in Medicaid, and many set income eligibility far below the Federal poverty level. Under the provisions of the law, any state that participated in Medicaid would need to expand coverage to include anyone earning up to 138% of the Federal poverty level beginning in 2014. The costs of the newly covered population would initially be covered in full by
11739-623: The national average per capita annual cost of Medicaid services for children to be $ 2,577, adults to be $ 3,278, persons with disabilities to be $ 16,859, aged persons (65+) to be $ 13,063, and all Medicaid enrollees to be $ 5,736. The Social Security Amendments of 1965 created Medicaid by adding Title XIX to the Social Security Act , 42 U.S.C. §§ 1396 et seq. Under the program, the federal government provided matching funds to states to enable them to provide Medical Assistance to residents who met certain eligibility requirements. The objective
11868-603: The national uninsured population lives in those states. As of March 2023, 40 states have accepted the Affordable Care Act Medicaid extension, as has the District of Columbia , which has its own Medicaid program; 10 states have not. Among adults aged 18 to 64, states that expanded Medicaid had an uninsured rate of 7.3% in the first quarter of 2016, while non-expansion states had a 14.1% uninsured rate. The Centers for Medicare and Medicaid Services (CMS) estimated that
11997-513: The new President Lyndon B. Johnson , "I don't have much influence with the Post because I frankly don't read it. I view it like the Daily Worker ." Ben Bradlee became the editor-in-chief in 1968, and Kay Graham officially became the publisher in 1969, paving the way for the aggressive reporting of the Pentagon Papers and Watergate scandals . The Post strengthened public opposition to
12126-452: The newspaper in a trust, having little faith that his playboy son Edward "Ned" McLean could manage it as part of his inheritance. Ned went to court and broke the trust, but, under his management, the newspaper slumped toward ruin. He bled the paper for his lavish lifestyle and used it to promote political agendas. During the Red Summer of 1919 the Post supported the white mobs and even ran
12255-551: The newspaper moved to a building at 14th and E streets NW, where it would remain until 1950. This building combined all functions of the newspaper into one headquarters – newsroom, advertising, typesetting, and printing – that ran 24 hours per day. In 1898, during the Spanish–American War , the Post printed Clifford K. Berryman 's classic illustration Remember the Maine , which became the battle-cry for American sailors during
12384-402: The newspaper's coverage during the run-up to the 2008 presidential election , former Post ombudsman Deborah Howell wrote: "The opinion pages have strong conservative voices; the editorial board includes centrists and conservatives; and there were editorials critical of Obama. Yet opinion was still weighted toward Obama." According to a 2009 Oxford University Press book by Richard Davis on
12513-509: The opioid epidemic. In Dec 2022, TJC announced they would no longer recognize Commission on Office Laboratory Accreditation (COLA) for lab accreditation as of Jan 1, 2023 and facilities would have until Dec 31, 2024 to transition to a CAP or TJC accreditation. With the COVID-driven inspection backlog and a lack of inspectors, the move was criticized as being purely a financially driven attempt to capture additional market share . No reason for
12642-433: The organization would embrace artificial intelligence to improve the paper's financial situation, telling staff it would seek "AI everywhere in our newsroom." In June 2024, Axios reported the Post faced significant internal turmoil and financial challenges. The new CEO, Lewis, has already generated controversy with his leadership style and proposed restructuring plans. The abrupt departure of executive editor Buzbee and
12771-420: The paper into an undistinguished secondary role in competition with other contemporary media. As part of the shift in tone, in 2023 the paper closed down the "KidsPost" column for children, the "Skywatch" astronomy column, and the "John Kelly's Washington" column about local history and sights, which had been running under different bylines since 1947. In May 2024, CEO and publisher William Lewis announced that
12900-620: The past within the U.S. about how The Joint Commission operates. The commission's practice had been to notify hospitals in advance of the timing of inspections. A 2005 article in The Washington Post noted that about 99% of inspected hospitals are accredited, and serious problems in the delivery of care are sometimes overlooked or missed. Similar concerns have been expressed by the Boston Globe who stated "The Joint Commission, whose governing board has long been dominated by representatives of
13029-461: The population was enrolled in Medi-Cal for at least 1 month in 2009–10. As of 2017, the total annual cost of Medicaid was just over $ 600 billion, of which the federal government contributed $ 375 billion and states an additional $ 230 billion. According to CMS, the Medicaid program provided health care services to more than 92 million people in 2022. Loss of income and medical insurance coverage during
13158-465: The position shortly thereafter. In 1933, financier Eugene Meyer bought the bankrupt Post , and assured the public that neither he nor the newspaper would be beholden to any political party. But as a leading Republican who had been appointed Chairman of the Federal Reserve by Herbert Hoover in 1930, his opposition to Roosevelt 's New Deal colored the paper's editorials and news coverage, including editorializing news stories written by Meyer under
13287-446: The poverty line were eligible for Medicaid, those with incomes from 32% to 100% of the poverty level ($ 6,250 to $ 19,530 for a family of three) were ineligible for both Medicaid and federal subsidies to buy insurance. Studies of the impact of Medicaid expansion rejections calculated that up to 6.4 million people would have too much income for Medicaid but not qualify for exchange subsidies. Several states argued that they could not afford
13416-460: The poverty line. Some of these states do not make Medicaid available to non-pregnant adults without disabilities or dependent children, no matter their income. Because subsidies on commercial insurance plans are not available to such individuals, most have few options for obtaining any medical insurance. For example, in Kansas , where only non-disabled adults with children and with an income below 32% of
13545-472: The program, although all but Ohio have since 1982. In general, Medicaid recipients must be U.S. citizens or qualified non-citizens, and may include low-income adults, their children, and people with certain disabilities . As of 2022 45% of those receiving Medicaid or CHIP were children. Medicaid also covers long-term services and supports, including both nursing home care and home- and community-based services, for those with low incomes and minimal assets;
13674-571: The proportion of hospital stays for children paid by Medicaid increased by 33% and the proportion paid by private insurance decreased by 21%. Some 43 million Americans were enrolled in 2004 (19.7 million of them children) at a total cost of $ 295 billion. In 2008, Medicaid provided health coverage and services to approximately 49 million low-income children, pregnant women, elderly people, and disabled people. In 2009, 62.9 million Americans were enrolled in Medicaid for at least one month, with an average enrollment of 50.1 million. In California , about 23% of
13803-706: The public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value." The company updates its accreditation standards, expands patient safety goals on a yearly basis, and posts them on its web site for all interested persons to review making the information and process transparent to all stakeholders ranging from institutions and practitioners to patients and their advocates . Residential treatment centers and medical care facilities often share their accreditation status with their patients. The purpose of The Joint Commission's National Patient Safety Goals (NPSGs)
13932-418: The quality of patient care; assisting international health care organizations, public health agencies, health ministries, and others in evaluating, improving, and demonstrating the quality of patient care; and enhancing patient safety in more than 60 countries. International hospitals may seek accreditation to demonstrate quality, and JCI accreditation may be considered a seal of approval by medical travelers from
14061-424: The recovery is limited to probate estates or extends beyond.) Several political factors influence the cost and eligibility of tax-funded health care. According to a study conducted by Gideon Lukens, factors significantly affecting eligibility included "party control, the ideology of state citizens, the prevalence of women in legislatures, the line-item veto, and physician interest group size". Lukens' study supported
14190-623: The same basic framework. As of 2013, Medicaid is a program intended for those with low income, but a low income is not the only requirement to enroll in the program. Eligibility is categorical —that is, to enroll one must be a member of a category defined by statute; some of these categories are: low-income children below a certain wage, pregnant women, parents of Medicaid-eligible children who meet certain income requirements, low-income disabled people who receive Supplemental Security Income (SSI) and/or Social Security Disability (SSD), and low-income seniors 65 and older. The details of how each category
14319-1437: The same organization that handles Medicaid in a state may also manage the additional programs. Separate programs may also exist in some localities that are funded by the states or their political subdivisions to provide health coverage for indigents and minors. State participation in Medicaid is voluntary; however, all states have participated since 1982. In some states Medicaid is subcontracted to private health insurance companies, while other states pay providers (i.e., doctors, clinics and hospitals) directly. There are many services that can fall under Medicaid and some states support more services than other states. The most provided services are intermediate care for mentally disabled, prescription drugs and nursing facility care for under 21-year-olds. The least provided services include institutional religious (non-medical) health care, respiratory care for ventilator dependent and PACE (inclusive elderly care ). Most states administer Medicaid through their own programs. A few of those programs are listed below: As of January 2012, Medicaid and/or CHIP funds could be obtained to help pay employer health care premiums in Alabama , Alaska , Arizona, Colorado , Florida , and Georgia . States must comply with federal law, under which each participating state administers its own Medicaid program, establishes eligibility standards, determines
14448-457: The saving on to patients currently without adequate dental care. While Congress and the Centers for Medicare and Medicaid Services (CMS) set out the general rules under which Medicaid operates, each state runs its own program. Under certain circumstances, an applicant may be denied coverage. As a result, the eligibility rules differ significantly from state to state, although all states must follow
14577-684: The scope and types of services it will cover, and sets the rate of reimbursement physicians and care providers. Differences between states are often influenced by the political ideologies of the state and cultural beliefs of the general population. The federal Centers for Medicare and Medicaid Services (CMS) closely monitors each state's program and establishes requirements for service delivery, quality, funding, and eligibility standards. Medicaid estate recovery regulations also vary by state. (Federal law gives options as to whether non-long-term-care-related expenses, such as normal health-insurance-type medical expenses are to be recovered, as well as on whether
14706-470: The so-called Medicaid coverage gap in states that have not expanded Medicaid: there are people whose income is too high to qualify for Medicaid in those states, but too low to receive assistance in paying for private health insurance, which is therefore unaffordable to them. States may bundle together the administration of Medicaid with other programs such as the Children's Health Insurance Program (CHIP), so
14835-417: The stock was worth $ 888 per share, not counting the effect of an intermediate 4:1 stock split. Graham also oversaw the Post company's diversification purchase of the for-profit education and training company Kaplan, Inc. for $ 40 million in 1984. Twenty years later, Kaplan had surpassed the Post newspaper as the company's leading contributor to income, and by 2010 Kaplan accounted for more than 60% of
14964-497: The use of patient safety measures, the spread of information, the measurement of performance, and the introduction of public policy recommendations. Joint Commission International (JCI) was established in 1998 as a division of Joint Commission Resources, Inc. (JCR), a not-for-profit, private affiliate of the Joint Commission. Through international accreditation, consultation, publications, and education programs, JCI extends The Joint Commission's mission worldwide by helping to improve
15093-572: The war, while contrary information got lost". On March 23, 2007, Chris Matthews said on his television program, " The Washington Post is not the liberal newspaper it was [...] I have been reading it for years and it is a neocon newspaper". It has regularly published a mixture of op-ed columnists, with some of them left-leaning (including E. J. Dionne , Dana Milbank , Greg Sargent, and Eugene Robinson ), and some of them right-leaning (including George Will , Marc Thiessen , Michael Gerson and Charles Krauthammer ). Responding to criticism of
15222-617: The west tower of One Franklin Square , a high-rise building at 1301 K Street NW in Washington, D.C. Mary Jordan was the founding editor, head of content, and moderator for Washington Post Live , The Post's editorial events business, which organizes political debates, conferences and news events for the media company, including "The 40th Anniversary of Watergate" in June 2012 that featured key Watergate figures including former White House counsel John Dean , Washington Post editor Ben Bradlee , and reporters Bob Woodward and Carl Bernstein , which
15351-538: The year prior to the Iraq War there were 27 editorials supporting the Bush administration 's desire to invade Iraq. National security correspondent Walter Pincus reported that he had been ordered to cease his reports that were critical of the administration. According to author and journalist Greg Mitchell : "By the Post 's own admission, in the months before the war, it ran more than 140 stories on its front page promoting
15480-915: Was attempting to do for the Senate what the House Un-American Activities Committee had been doing for years—investigating Soviet espionage in America . The HUAC made Richard Nixon nationally known for his role in the Hiss / Chambers case that exposed communist spying in the State Department . The committee had evolved from the McCormack - Dickstein Committee of the 1930s. Phil Graham's friendship with John F. Kennedy remained strong until their deaths in 1963. FBI Director J. Edgar Hoover reportedly told
15609-473: Was continued by his successors Katharine and Phil Graham , Meyer's daughter and son-in-law, respectively, who bought out several rival publications. The Post 's 1971 printing of the Pentagon Papers helped spur opposition to the Vietnam War . Reporters Bob Woodward and Carl Bernstein led the investigation into the break-in at the Democratic National Committee , which developed into
15738-407: Was founded in 1877 by Stilson Hutchins (1838–1912); in 1880, it added a Sunday edition, becoming the city's first newspaper to publish seven days a week. In April 1878, about four months into publication, The Washington Post purchased The Washington Union , a competing newspaper which was founded by John Lynch in late 1877. The Union had only been in operation about six months at the time of
15867-513: Was held at the Watergate hotel. Regular hosts include Frances Stead Sellers . Lois Romano was formerly the editor of Washington Post Live . The Post has its own exclusive Zip Code , 20071. Arc XP is a department of The Washington Post , which provides a publishing system and software for news organizations such as the Chicago Tribune and the Los Angeles Times . The newspaper
15996-426: Was no advantage for patients to choose a hospital accredited by The Joint Commission over a hospital accredited by another independent accrediting organization. The Wall Street Journal suggested that the underlying reasons for this is the failure of The Joint Commission to revoke or modify the accreditation status of hospitals with major infractions considered to be so significant they caused, or were likely to cause,
16125-513: Was relatively low. Interest in this approach remained high, however. Included in the Social Security program under Medicaid are dental services . Registration for dental services is optional for people older than 21 years but required for people eligible for Medicaid and younger than 21. Minimum services include pain relief, restoration of teeth and maintenance for dental health. Early and Periodic Screening, Diagnostic and Treatment (EPSDT)
16254-400: Was renamed Graham Holdings shortly after the sale. Nash Holdings, which includes the Post , is operated separately from technology company Amazon , which Bezos founded and where he is as of 2022 executive chairman and the largest single shareholder, with 12.7% of voting rights. Bezos said he has a vision that recreates "the 'daily ritual' of reading the Post as a bundle, not merely
16383-636: Was renamed The Joint Commission on Accreditation of Hospitals in 1951, but it was not until 1965, when the federal government decided that a hospital meeting Joint Commission accreditation met the Medicare Conditions of Participation, that accreditation had any official impact. However, Section 125 of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) removed the Joint Commission's statutorily-guaranteed accreditation authority for hospitals, effective July 15, 2010. At that time,
16512-410: Was shut down and the first website was launched in June 1996. In August 2013, Jeff Bezos purchased The Washington Post and other local publications, websites, and real estate for US$ 250 million , transferring ownership to Nash Holdings LLC, Bezos's private investment company. The paper's former parent company, which retained some other assets such as Kaplan and a group of TV stations,
16641-511: Was to help states assist residents whose income and resources were insufficient to pay the costs of traditional commercial health insurance plans. By 1982, all states were participating. The last state to do so was Arizona. The Medicaid Drug Rebate Program and the Health Insurance Premium Payment Program (HIPP) were created by the Omnibus Budget Reconciliation Act of 1990 (OBRA-90). This act helped to add Section 1927 to
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