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The Centers for Medicare & Medicaid Services (CMS) yesterday issued the attached proposed rule that creates a new model in which acute care hospitals in certain selected geographic areas, including three in California, will receive retrospective bundled payments for episodes of care for hip and knee replacements beginning Jan. 1, 2016 through Dec. 31, 2020. The Comprehensive Care for Joint Replacement (CCJR) model would hold participant hospitals financially accountable for the quality and cost of a 90-day episode of care and is intended to incentivize increased coordination of care among hospitals, physicians and post-acute care providers.
Participation in the model would be required by hospitals paid under the inpatient prospective payment system (IPPS) in 75 geographic areas defined by metropolitan statistical areas (MSAs). CMS has proposed participation for three California MSAs, including Los Angeles-Long Beach-Anaheim (Orange County and Los Angeles County), Modesto (Stanislaus County), and San Francisco-Oakland-Hayward (Alameda County, Contra Costa County, San Francisco County, San Mateo County and Marin County).
Urge Members of Congress to Protect Access to Care, Support Key Hospital Priorities
HQI to Host Webinar on Child Abuse Reporting and Perinatal Mental Health
As part of its Perinatal Mental Health (PMH) Learning Community, the Hospital Quality Institute will host a webinar on Aug. 19 from noon to 1 p.m. (PT) to discuss the impact of child welfare involvement on both parent and infant mental health, the role that hospital staff plays in the process of child abuse reporting during the perinatal period, and steps to file a child abuse report as a...
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U.S House Holds Multiple Hearings on Hospital Issues
CHA thanks members for responding to the targeted alert calling for hospitals to contact their congressional representatives ahead of the four House subcommittee hearings on transparency, disproportionate share hospital (DSH) payments, outpatient payments, 340B, physician-owned hospitals, tax-exempt status, and many other hospital issues.
CMS Issues Final Rule on FFY 2022 Inpatient Psychiatric Facility Prospective Payment System
The Centers for Medicare & Medicaid Services (CMS) has issued the federal fiscal year (FFY) 2022 inpatient psychiatric facility (IPF) prospective payment system (PPS) final rule updating payment policies and rates. The final rule is effective Oct. 1.
CMS Issues FY 2023 Inpatient Rehabilitation Facility Prospective Payment System Update Proposed Rule
The Centers for Medicare & Medicaid Services (CMS) has released its proposed rule updating payments to inpatient rehabilitation facilities (IRFs) for fiscal year (FY) 2023. Comments on the proposed rule are due by 2 p.m. (PT) on May 31.