FinancialHospitals

Senate and House members urge CMS to increase inpatient hospital payment

Changes are sought before CMS releases the IPPS final rule.

Susan Morse, Executive Editor – July 27, 2022

Ahead of the Centers for Medicare and Medicaid Services release the final rule on inpatient payment, House and Senate members are urging CMS to increase the rate hospitals will be paid.

A bipartisan group of 112 representatives and 30 senators have asked CMS to consider using its special exceptions and adjustments authority to revise the hospital inpatient prospective payment system rule for fiscal year 2023 to more accurately reflect the cost of providing hospital care to patients. Several other senators have separately urged CMS to address similar concerns.

The House and Senate letters have expressed concern that CMS’ proposed rule does not fully account for the current cost of care, and would result in an overall payment reduction for hospitals.

“We are concerned that the proposed payment updates do not fully account for the current cost of care and when coupled with other policy changes incorporated in the proposed rule, will result in an overall payment reduction for hospitals in 2023,” the Senate letter said.

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Chris J. Stewart

Chris currently serves as President and CEO of Surgio Health. Chris has close to 20 years of healthcare management experience, with an infinity to improve healthcare delivery through the development and implementation of innovative solutions that result in improved efficiencies, reduction of unnecessary financial & clinical variation, and help achieve better patient outcomes. Previously, Chris was assistant vice president and business unit leader for HPG/HCA. He has presented at numerous healthcare forums on topics that include disruptive innovation, physician engagement, shifting reimbursement models, cost per clinical episode and the future of supply chain delivery.

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