CLA’s Regulatory Advisor offers a concise summary of key health care provisions for IPPS hospitals.

Navigating health reform

CMS Releases 2018 Proposed Rule for Inpatient Prospective Payment System Hospitals

  • 6/8/2017

On April 14, 2017, the Centers for Medicare and Medicaid Services (CMS) released their proposed rule that would update payment rates for inpatient prospective payment system (IPPS) acute care hospitals; long-term care hospitals, psychiatric, cancer, and critical access hospitals; and certain PPS exempt rural hospitals for discharges occurring on or after October 1, 2018. CMS estimates an increase in uncompensated care payments of $1 billion (a 1.2 percent increase), a $212 million increase in capital payments, and an overall increase of $3.1 billion in Medicare payments for federal fiscal year (FFY) 2018.

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CMS continues to focus on their commitment to enhancing quality reporting, reducing readmissions and hospital acquired conditions, and the continued financial support to hospitals that serve a disproportionate share of low income patients. CMS is accepting comments on this proposed rule until June 14, 2017. Responses to comments will be included in the 2018 IPPS final rule, which is expected to be issued by August 1, 2017.

CliftonLarsonAllen’s (CLA) Regulatory Advisor offers IPPS hospitals a summary of the proposed rule’s key provisions, and condenses pages of regulation into an accessible format that translates some of the more complex issues into understandable terms. Especially during the next phase of changes in our health care system, hospital leaders can rely on CLA to continue to monitor CMS publications and provide resources to help prepare hospitals for the future.

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