CMS FY 2019 IPPS and LTCH PPS proposed rule targets interoperability, transparency and burden reductions

On April 24, the Centers for Medicare & Medicaid Services (CMS) released its fiscal year (FY) 2019 inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) proposed rule. CMS proposes to reduce regulatory burdens for inpatient hospitals and increase price transparency and better data sharing between hospitals and other providers and suppliers. Highlights from the proposed rule are explained in further detail below. Updates to Medicare Payment Rates The proposed rule would update Medicare payment rates for both acute care hospitals and long-term care hospitals. IPPS payment rates would increase 1.25 percent for hospitals that successfully participate in the Hospital Inpatient Quality Reporting (IQR) Program and are meaningful electronic health record (EHR) users. CMS also proposes a positive 0.5 percentage adjustment required by the Medicare Access and CHIP Reauthorization Act of 2015 for a total increase of 1.75 percent…

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