The Centers for Medicare and Medicaid Services (CMS) has issued final rules for prospective payment systems for acute care and long term care hospitals whose net effect will be to decrease payments to acute care hospitals paid under the inpatient prospective payment system (IPPS) by $756 million and increase payment to long term care hospitals (LTCHs) by 1.1% under the LTCH prospective payment system.
Despite a call for comments from stakeholders, the rule avoids making any final changes to the "2-midnight" policy or regarding policies for short stays. The rule also finalizes the use of 5 readmissions measures for assessing readmission penalties, incorporating methodology changes supported by APTA related to hip and knee arthroplasty.
Among other changes set for 2015:
In addition to the changes for 2015, CMS finalized the addition of 2 quality measures related to function for the 2018 long term care hospital (LTCH) Quality Reporting Program. The measures, titled "Functional Outcome Measure: Change in Mobility among LTCH Patients Requiring Ventilator Support;" and "Percent of LTCH Patients with an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function," were supported by APTA.
APTA participated in the comment period for the 2015 rules when they were proposed by CMS earlier this year, and will be publishing a summary of the changes online in the coming weeks.
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