PRINCETON, N.J. (AP) — When a patient was moved from the intensive care unit to a regular hospital bed, it used to be routine for Dr. Anthony Granato to order 24 hours of heart monitoring, just in case.
A few years ago, his thinking changed: If the patient was in good enough condition to be out of the ICU, he would not need the extra monitoring at a cost of more than $1,000 per day.
The main reason for the shift for Granato, a pulmonary critical care doctor, is a program introduced in a dozen New Jersey hospital in 2009. It pays doctors when they save money for the hospitals as they treat patients covered by Medicare.
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