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Medicare’s Proposed Updates to Labor Market Areas and Impact on Special Rural Status

Hall Render

On April 10, 2024, the Centers for Medicare & Medicaid Services (“CMS”) released the 2025 Inpatient Prospective Payment System (“IPPS”) Proposed Rule (“Proposed Rule”). Hall Render blog posts and articles are intended for informational purposes only.

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HHS Publishes Proposed Payments for Rural Emergency Hospitals

Hall Render

The proposed payment policies include an initial monthly facility fee of approximately $268,000 per month, which will adjust in future years based on a market-basket update. Proposed REH Payments. CMS ultimately proposed a monthly facility payment of $268,294 (just over $3.2 5 Percent OPPS Increase. million per year) for 2023.

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CMS Finalizes FFY 2024 Changes for Rural Floor Wage Index Policy

Hall Render

In doing so, CMS will finalize changes to its rural floor wage index policy that can drastically change payments for certain hospitals and its extension of the wage index add-on for low-wage hospitals. CMS also uses the hospital wage index for the Outpatient Prospective Payment System.

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CMS Proposes Regulations for Rural Emergency Hospital CoPs and CAH Updates; Providers Wait for Clarification on Payment Policies

Hall Render

The Act specifies that REHs will be paid for outpatient services at 105% of the otherwise applicable rates under the Outpatient Prospective Payment System (“OPPS”). This facility payment will be adjusted each year by the annual hospital market basket update factor. Your primary Hall Render contact.

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2024 Medicare Physician Fee Schedule Final Rule Makes Changes to Medicare Shared Savings Program

Hall Render

In furtherance of CMS’s goal of having 100% of traditional Medicare beneficiaries treated by a provider in a value-based care model by 2030, the changes are intended to incentivize more Medicare providers and suppliers to join the MSSP and promote long-term participation in the Program. These changes become effective on January 1, 2024.

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Former CMS chief of staff previews 4 areas of value-based care in 2022

Healthcare IT News - Telehealth

This is why, as the new year approaches, Healthcare IT News has sat down with an expert in value-based care to get his views on what 2022 will hold for the payment system. Caravan Health is a privately held company formed to create sustainable methodologies for health systems to excel in value-based care.

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Understanding Basics of Alternative Payment Models (APMs)

Medisys Compliance

In October 2021, the Center for Medicare and Medicaid Innovation (CMMI) announced a goal of having every Medicare beneficiary and the majority of Medicaid beneficiaries covered by some type of alternative payment model (APM) by 2030. Beginning in 2026, QPs will receive a higher annual Medicare fee schedule adjustment than non-QPs.