Comments Have Been Requested on Proposed Medicare Hospital Payment and REH Updates

  On April 10, 2023, CMS issued proposed changes to Medicare’s inpatient prospective payments made to acute care and long-term care hospitals.  Specifically, CMS proposes a 2.8% increase to hospitals that successfully participate in the Inpatient Quality Reporting program and are meaningful electronic health record (EHR) users. They also propose to continue policies that support low-wage index hospitals, many of which are rural, and to include data for hospitals that reclassify from urban to rural (42 CFR §412.103) in other wage index calculations.  There is a proposal to adjust payments when homelessness is indicated and a Request for Information on the unique challenges faced by safety-net hospitals and the patients they serve.  Finally, CMS has proposed to allow Rural Emergency Hospitals (REH), a Medicare new provider type, to serve as training sites for Medicare Graduate Medical Education (GME) payment purposes, and they provided proposed regulations on what information must be submitted to CMS when a hospital applies to become an REH.  Comments are due by June 9, 2023.

CMS Releases Proposed Skilled Nursing Facility Prospective Payment System for FY 2024

 On April 4, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update the Skilled Nursing Facility Prospective Payment System (SNF PPS) for fiscal year (FY) 2024. In addition to the rate updates, the proposed rule includes proposals for the SNF Quality Reporting Program (QRP) and the SNF Value-Based Purchasing (VBP) Program for FY 2024 and future years. Also, effective with services furnished on or after January 1, 2024, CMS proposes to add marriage and family therapists and mental health counselors to the list of practitioners whose services are excluded from the consolidated billing provision and is seeking comments identifying HCPCS codes that might meet the criteria for exclusion from SNF consolidated billing.  Comments are due by June 5, 2023.

Comments Have Been Requested on Proposed Medicare Inpatient Psychiatric Payment Rates

 On April 4, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to update Medicare payment policies and rates for the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) for fiscal year (FY) 2024. The proposed rule includes updates to the inpatient psychiatric payment rates and a request for information to about future payment changes and data collection for inpatient psychiatric services. Comments are due by June 5, 2023.

CMS Releases Proposed Hospice Payment Rate Update for FY 2024

On March 31, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update Medicare hospice payments and the aggregate cap amount for fiscal year (FY) 2024. The proposed rule would include a 5-percent cap on wage index decreases and require hospice-certifying physicians to be Medicare-enrolled or to have validly opted out as a prerequisite for payment for the hospice period of care in question. Also, this rule includes information on hospice utilization trends and solicits comments regarding information related to the provision of higher levels of hospice care. Comments are Due by May 30, 2023.

A New Update on Rural Broadband Access and Telehealth Use During the Pandemic

Researchers compared county-level data broadband capacity with telehealth use among Medicare Fee-for-Service beneficiaries from January through September 2020. The association between broadband access and telehealth utilization and the decreased telehealth utilization in rural areas highlights the importance of broadband access for healthcare access and the need to continue investing in broadband infrastructure to promote equitable healthcare access across populations.