THE VALUED VOICE

Vol. 65, Issue 17
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Thursday, April 29, 2021

   

CMS Introduces FY 2022 Inpatient Rule

On April 27, the Centers for Medicaid & Medicare Services (CMS) introduced its proposed FY 2022 Inpatient Prospective Payment System (IPPS) Rule. The Wisconsin Hospital Association (WHA) will analyze the full 1,900-plus-page rule in the coming weeks and prepare comments in advance of the June 28 comment deadline.

Below are some highlights of proposed policies from CMS:

  • Proposes a net payment increase of 2.8 percent for most hospitals;
  • Repeals the requirement for hospitals to report the median payer-specific negotiated rates for Medicare Advantage organizations on the Medicare cost report;
  • Requires hospitals to report on staff vaccination rates for COVID-19;
  • Extends the New COVID-19 Treatments Add-on Payment through the end of the fiscal year in which the public health emergency ends;
  • Continues the wage index policy of adjusting upward hospitals in the lowest 25% at the expense of hospitals in the highest 25%; also implements provisions of the American Rescue Plan Act (ARPA) of 2021 that reinstate the imputed rural floor in Rhode Island, New Jersey and Delaware, increasing payments to hospitals in those states by $200 million;
  • Implements ARPA provisions related to Graduate Medical Education (GME), including fixing the rotator cap issue, proposing to distribute new GME funded residency slots in 2023 and beyond, and assisting rural training track programs; and
  • Makes various changes to the Promoting Interoperability Program and Hospital Quality Reporting and Value Programs.

Contact WHA Vice President of Federal and State Relations Jon Hoelter with questions or comments.

This story originally appeared in the April 29, 2021 edition of WHA Newsletter

WHA Logo
Thursday, April 29, 2021

CMS Introduces FY 2022 Inpatient Rule

On April 27, the Centers for Medicaid & Medicare Services (CMS) introduced its proposed FY 2022 Inpatient Prospective Payment System (IPPS) Rule. The Wisconsin Hospital Association (WHA) will analyze the full 1,900-plus-page rule in the coming weeks and prepare comments in advance of the June 28 comment deadline.

Below are some highlights of proposed policies from CMS:

  • Proposes a net payment increase of 2.8 percent for most hospitals;
  • Repeals the requirement for hospitals to report the median payer-specific negotiated rates for Medicare Advantage organizations on the Medicare cost report;
  • Requires hospitals to report on staff vaccination rates for COVID-19;
  • Extends the New COVID-19 Treatments Add-on Payment through the end of the fiscal year in which the public health emergency ends;
  • Continues the wage index policy of adjusting upward hospitals in the lowest 25% at the expense of hospitals in the highest 25%; also implements provisions of the American Rescue Plan Act (ARPA) of 2021 that reinstate the imputed rural floor in Rhode Island, New Jersey and Delaware, increasing payments to hospitals in those states by $200 million;
  • Implements ARPA provisions related to Graduate Medical Education (GME), including fixing the rotator cap issue, proposing to distribute new GME funded residency slots in 2023 and beyond, and assisting rural training track programs; and
  • Makes various changes to the Promoting Interoperability Program and Hospital Quality Reporting and Value Programs.

Contact WHA Vice President of Federal and State Relations Jon Hoelter with questions or comments.

This story originally appeared in the April 29, 2021 edition of WHA Newsletter