In the final rule, CMS notes that it received comment on key considerations that inform our approach to improving data collection, to better measure and analyze disparities across our programs and policies, and approaches for updating the HRRP that encourage providers to improve performance for socially at-risk populations.ĬMS will continue policies finalized in the FY 2020 IPPS/LTCH PPS final rule to address wage index disparities affecting low wage index hospitals. All paused measures will continue to be publicly reported.Ĭonsistent with Executive Order 13985 on Advancing Racial Equity and Support for Underserved Communities through the federal government, CMS sought stakeholder feedback on ways to advance health equity in the proposed rule.
For the FY 2023 HAC Reduction Program, participating hospitals will not be given a measure score, a Total HAC score, nor a payment adjustment. Similarly, we are also pausing all six measures in the HAC Reduction Program from the calculation of measure scores and Total HAC Scores, thereby not penalizing any hospital under the FY 2023 HAC Reduction Program. In addition to these measure pauses for the Hospital VBP Program, we are implementing a special scoring methodology for FY 2023 that results in each hospital receiving a value-based incentive payment amount that matches their 2% reduction to the base operating MS-DRG payment amount. Additionally, due to the impact of the COVID-19 public health emergency ( PHE) on measure data, we are pausing the use of several measures in the scoring of the Hospital VBP and HAC Reduction Programs. In addition, we are providing estimated and newly established performance standards for the Hospital Value-Based Purchasing (VBP) Program and updated policies for the Hospital Readmissions Reduction Program (HRRP), Hospital Inpatient Quality Reporting (IQR) Program, Hospital VBP Program, Hospital-Acquired Condition (HAC) Reduction Program, PPS-Exempt Cancer Hospital Reporting Program, and LTCH Quality Reporting Program. The policies in the IPPS and LTCH PPS rule build on key priorities to advance health equity, including by better measuring health care quality disparities, and to improve the safety and quality of maternity care.ĬMS is establishing new requirements and revising existing requirements for eligible hospitals and critical access hospitals (CAHs) participating in the Medicare Promoting Interoperability Program. This fact sheet discusses major provisions of the final rule, which can be downloaded from the Federal Register at:
The rule updates Medicare fee-for-service payment rates and policies for inpatient hospitals and LTCHs for FY 2023, as required by the statute. On August 1, 2022, the Centers for Medicare & Medicaid Services (CMS) issued the fiscal year (FY) 2023 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) final rule.
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