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Proposed Medicare Inpatient Regulation Released

The Centers for Medicare & Medicaid Services (CMS) has released its proposed annual Medicare inpatient prospective payment system regulation.  This regulation ultimately will dictate how Medicare pays hospitals when the 2013 fiscal year begins on October 1, 2012. As significant as what this year’s draft regulation says is what it does not say.  Even though eligible hospitals face cuts of as much as 75 percent in their Medicare disproportionate share hospital payments (Medicare DSH) beginning in FY 2014, the proposed regulation addresses neither how Medicare DSH payments might be calculated come 2014 nor how CMS will determine how much uncompensated [&hellip

CMS Issues Revised ACO Regulation

The Centers for Medicare & Medicaid Services (CMS) has issued a revised regulation governing the accountable care organizations, or ACOs, created under the Affordable Care Act. CMS’s original draft of the regulation produced a considerable amount of criticism – and more than a few suggestions that health care providers would be unwilling to participate in ACOs under the terms CMS proposed.  The new version apparently allays many of the concerns that hospitals, doctors, and others expressed in response to the first draft. For descriptions and commentary about the new rule, how it differs from the draft, and its implications for [&hellip

Medicare Increases Inpatient Payments

Surprise!  Medicare is giving hospitals a raise.  After proposing a 0.5 percent cut in hospital inpatient payments back in April, the Centers for Medicare & Medicaid Services (CMS) has reversed course and announced that it will increase inpatient payments to hospitals by one percent in FY 2012. Learn more about Medicare’s reimbursement plans for hospitals and other providers in its newly released regulations governing hospital inpatient payments, rehab facility payments, and skilled nursing facility payments

Medicare to Start Penalizing Hospitals for Readmissions

A new federal regulation will penalize hospitals that readmit Medicare patients within 30 days of their discharge. This change in Medicare regulations, proposed in May, will take effect in October of 2012 and is part of a broader effort by the federal government to make hospitals assume a broader role in coordinating the care of their Medicare patients. A Washington Post article describes this and other new soon-to-be implemented Medicare policies in greater detail

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