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CMS Releases FY 2022 IPPS and LTCH Proposed Rule | Holland & Knight LLP


Highlights
The Centers for Medicare & Medicaid Services (CMS) on April 27, 2021, released the Fiscal Year (FY) 2022 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH) Prospective Payment System (PPS) Proposed Rule, which will affect discharges occurring on or after Oct. 1, 2021.
The Proposed Rule would update the payment policies and annual payment rates for the inpatient payment system, update various quality programs and evaluate New Technology Add-On Payment (NTAP) applications, among other changes.
Comments on the Proposed Rule are due by June 28, 2021, and a final rule is expected by Aug. 1, 2021.
The Centers for Medicare & Medicaid Services (CMS) on April 27, 2021, released the Fiscal Year (FY) 2022 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH) Prospective Payment System (PPS) Proposed Rule, which will affect discharges occurring on or after Oct. 1, 2021. A CMS fa ....

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Interagency Health Reform Recommendations Provide Path to Healthier Pennsylvania


Interagency Health Reform Recommendations Provide Path to Healthier Pennsylvania
01/15/2021
Harrisburg, PA - Prior to the COVID-19 pandemic, cost, access, and equity warning signs already existed in Pennsylvania’s health care system. One in two Pennsylvanians find it hard to pay their medical bills, and the commonwealth’s health care costs have been growing annually at a rate significantly above the annual statewide growth in gross domestic product (GDP). This results in Pennsylvania families and businesses paying more each year towards health insurance premiums and out-of-pocket costs.
The Interagency Health Reform Council (IHRC), created by an executive order Governor Tom Wolf signed on October 2, 2020 to address whole person health reform, recently presented its recommendations for how to shift this reality so that payment and health care delivery systems are aligned, costs are reduced, disparities tackled, and government and corpor ....

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HCA reaches 59% of payments as Value-based Purchasing in 2019 - State of Reform


HCA reaches 59% of payments as Value-based Purchasing in 2019
Sydney Kurle | Dec 17, 2020
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As the largest health care purchaser in Washington, the HCA says their goal is to continue to move the health care system towards VBP. Although the original goal for 2019 was to have 75 percent of payments be VBP, the HCA says they remain optimistic that they can reach their goals. 
 
 
“Washington will use its position in the marketplace to drive transformation as both a first mover and market convener,” says the HCA website. “We will use purchasing power to lead by example and accelerate the adoption of value-based reimbursement and alternative payment strategies in the commercial market.” ....

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