Medicare #Hospital Inpatient Proposed #Payment Rule Calls for Additional #Price Transparency | #CornerInsure | The Centers for Medicare & Medicaid Services (CMS) released its annual proposal for the Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System, which includes proposed policy changes and rates for the 2021 Fiscal Year (FY).
In this rule, CMS lays out a long-term vision for injecting market pricing into Medicare reimbursement and proposes near-term requirements for disclosure of negotiated commercial rates to inform a new rate-setting paradigm. CMS seeks comment on a potential change to the methodology for calculating the Medicare Inpatient Prospective Payment System (IPPS) and Medicare Severity-Diagnosis Related Group (MS-DRG) relative weights to incorporate this market-based rate information, beginning in FY 2024. Comments on this proposed rule are due by July 10.
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