Medicare

This Regulatory Advisory highlights CMS's proposed rule to revise the existing Medicare and Medicaid Conditions of Participation (CoPs) for hospitals and critical access hospitals.
Final Rule: Medicare Hospital Outpatient Prospective Payment And Ambulatory Surgical Center Payment Systems for CY 2012 Summary
In the August 18 Federal Register, CMS published its fiscal year (FY) 2012 final rule for the inpatient prospective payment system (PPS) and long-term care hospital (LTCH) PPS. This advisory covers the LTCH provisions in the final rule regulation...
On October 20, the Centers for Medicare & Medicaid Services (CMS) released the much-anticipated final regulation for the Medicare Shared Savings Program (MSSP), which encourages the voluntary formation of accountable care organizations (ACOs).
On October 20, CMS released a final regulation (ACO rule) governing the creation of accountable care organizations (ACOs) under the Medicare Shared Savings Program (ACO program). This rule is described in detail in a companion regulatory advisory.
Historically, the Medicare program has reimbursed hospitals for a portion of the bad debt incurred by its beneficiaries.
On August 23, the Centers for Medicare & Medicaid Services' (CMS) Center for Medicare and Medicaid Innovation (CMMI) unveiled its Bundled Payments for Care Improvement Initiative.
Given that Medicare and Medicaid comprise more than 20 percent of all federal spending, some policymakers are advocating cuts to Medicare and Medicaid payments for hospital services as part of deficit reduction options.
The Centers for Medicare & Medicaid Services (CMS) in the August 8 Federal Register published the fiscal year (FY) 2012 final rule for the skilled nursing facility (SNF) prospective payment system (PPS).