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The CMS updated its star ratings in December with a new formula intended to improve accuracy and fairness. But a study of the most recent CMS data by consulting firm Sullivan, Cotter and Associates and Modern Healthcare show that the majority of specialty hospitals received five-star ratings—the highest rating a facility can receive—while a small number of major teaching hospitals received the same recognition. Of the 74 specialty hospitals that received a star rating in December, 45—or 61%—received a five-star rating and 16—or 22%—received a four-star rating, according to the Sullivan Cotter analysis. By comparison, of the 172 major teaching hospitals that received a star rating from the CMS, just 15—or 9%—got a five-star rating and 25—or 15%—received four stars. (Castellucci, 3/14)

Republican members of the House Energy and Commerce Committee have launched an investigation into the hospital accreditation process following a Wall Street Journal report last year that found the Joint Commission accredited hospitals with major safety issues. The committee sent letters to the CMS and four accreditation organizations including the Joint Commission requesting they provide detailed information about how they accredit hospitals and other facilities. The committee wrote in the letters that it is "concerned about the adequacy of CMS' oversight" of accreditation organizations and the rigor of their survey processes. (Castellucci, 3/13)