Inpatient Care Providers

CMS proposes 2.8% payment rate boost for inpatient rehabilitation facilities

March 28, 2024 - CMS has proposed to increase payment rates for inpatient rehabilitation facilities (IRFs) by 2.8 percent in 2025. The payment update in the IRF Prospective Payment System (PPS) reflects a market basket increase of 3.2 percent and a 0.4 percentage point decrease for productivity. CMS has also proposed to update the outlier threshold to maintain...

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Trauma center hospitals charged above-market prices for non-trauma care

by Victoria Bailey

Hospitals designated as trauma centers charged higher prices for non-trauma inpatient admissions and emergency department visits compared to non-trauma center hospitals, a Health Affairs study...

Physician-Owned Hospitals Could Save Medicare Over $1B

by Jacqueline LaPointe

Physician-owned hospitals treated some of the most expensive Medicare beneficiaries at lower costs compared to traditional hospitals despite seeing similar patient populations, according to a recent...

Non-Profit Hospitals Up Community Benefits to $130B

by Jacqueline LaPointe

A new analysis released by the American Hospital Association (AHA) shows increasing levels of community benefits provided by non-profit hospitals. Non-profit hospitals delivered nearly $130 billion in...

Dana-Farber, Beth Israel Team Up To Create a Cancer Hospital

by Jacqueline LaPointe

Dana Farber Cancer Institute (Dana-Farber) is cutting ties with Brigham and Women’s Hospital to build a freestanding cancer hospital with another Boston healthcare leader. The specialty provider...

Study Can’t Link Hospital Competition to Quality Improvements

by Jacqueline LaPointe

A study out of the University of Michigan cannot identify a clear relationship between surgical outcomes and the level of competition a hospital faces. The study recently published in JAMA Surgery...

Inpatient Providers Will Receive 3.1% Reimbursement Increase in FY24

by Victoria Bailey

CMS has increased Medicare payment rates for inpatient providers and long-term care hospitals (LTCHs) in the fiscal year (FY) 2024 Medicare hospital inpatient prospective payment system (IPPS) and LTCH...

CMS Boosts FY24 Payment Rates for Inpatient Psychiatric and Rehab Facilities

by Victoria Bailey

CMS has finalized payment increases for inpatient psychiatric facilities (IPFs) and inpatient rehabilitation facilities (IRFs). IPF Prospective Payment System The IPF prospective payment system (PPS)...

Proposed Rule to Boost Medicare Inpatient Rehab Payments by 3%

by Jacqueline LaPointe

A new proposed rule from CMS would increase payments to inpatient rehabilitation facilities (IRFs) by $335 million next fiscal year. The draft regulation would also update quality reporting and new...

More Hospital CEOs Are Leaving Their Posts

by Jacqueline LaPointe

Hospital chief executive officers (CEOs) are stepping down or leaving their positions more than last year, according to the latest data from global outplacement and business and executive coaching firm...

Hospital Execs Expect Greater Shift to Outpatient Care

by Jacqueline LaPointe

Hospital and health system executives are expecting large increases in outpatient volume this year, according to a recent analysis from the Guidehouse Center for Health Insights. The Center for Health...

Hospital Financial Performance Still Lags Behind 2020

by Jacqueline LaPointe

Hospital financial performance continues to feel the effect of the COVID-19 pandemic, according to the latest “National Hospital Flash Report” from Kaufman Hall. The report shows that the...

Elective Surgeries Shifted from Inpatient to Outpatient Settings

by Victoria Bailey

Inpatient surgery utilization levels declined between 2019 and 2021, while utilization rates in outpatient settings increased, according to data from Cedar Gate Technologies. The findings reflect...

OIG: CMS System Edits Reduced Medicare Overpayments to Hospitals

by Victoria Bailey

CMS system edits helped reduce Medicare overpayments to acute care hospitals for outpatient services provided to beneficiaries who were inpatients of other facilities, a report from the Office of...

Predictive Analytics Streamline Hospital Operations at Seattle Children’s

by Jacqueline LaPointe

There are several Seattle Children’s Hospitals. No, you can’t physically go to these other “hospitals” for world-class pediatric care, but the organizations are helping to make Seattle Children’s more...

Over Half of Hospitals to Have Negative Margins Through 2022

by Jacqueline LaPointe

2022 is shaping up to be the most financially difficult year for hospitals and health systems since the start of the pandemic, according to the American Hospital Association (AHA). A new report...

CMS Releases FY23 Final Rules for Hospice Providers, IPFs, IRFs

by Victoria Bailey

CMS has released final rules solidifying Medicare reimbursement rates for hospice providers, inpatient psychiatric facilities (IPFs), and inpatient rehabilitation facilities (IRFs) for fiscal year...

Hospitals Press CMS to Rethink Proposed FY23 Medicare IPPS Rates

by Jacqueline LaPointe

Medicare inpatient reimbursement cuts slated to take effect in the 2023 fiscal year would threaten access to care at hospitals, which are already facing substantially higher costs because of the...

AHA Calls for Changes to FY23 Inpatient Rehabilitation Facility PPS

by Victoria Bailey

The American Hospital Association (AHA) has asked CMS to adjust the final Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) rule for FY 2023, noting concerns about the proposed...

Hospitals Performed 100K Low-Value Procedures During Pandemic

by Victoria Bailey

Hospitals performed more than 100,000 low-value procedures on Medicare beneficiaries in 2020, contributing to the high rate of hospital overuse during the COVID-19 pandemic, according to an analysis...

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