CMS Completes Implementation Of New Slot For Medicare Resident Status

Centers for Medicare and Medicaid Services said in a long-awaited announcement from Centers for Medicare and Medicaid in priority areas where certain health professionals are missing. final rule On Friday.

Additional locations will be placed in phases over five years, with funding of approximately $ 1.8 billion over the next 10 years. The first 200 slots will be announced on January 31, 2023. The policy is part of the final projected CMS payments system for 2022.

Congress authorized the addition of residences earlier this year. According to CMS, this is the largest expansion of a postgraduate medical education program in 25 years. Replenishment is taking place at a time when healthcare is facing severe shortages of staff.

Locations designated as areas of shortage of professional health workers will have priority for new places to live. Rural teaching hospitals will be eligible to increase the maximum number of residents they can accept.

“Doctors are likely to practice where they live. Having additional residents studying in exactly the areas that need the most support can not only increase the number of providers in these underserved areas, but also train them with a unique understanding. the special needs of these communities, ”said Dr. Mina Seshamani, Director of the Center for Medical Assistance, in a press release.

Hospitals opening new full-time residency programs will also receive additional accommodations and amounts per resident.

Stakeholders in hospitals were divided over the CMS’s suggestions on how to allocate slots in the comments to the rule earlier this year. CMS chose a policy option supported by rural hospitals. The American Hospital Association and the American College of Medicine Association wrote in comments that the CMS’s proposal to prioritize the allocation of slots for assessing the shortage of health care professionals does not reflect the intention of Congress.

The CMS asked for feedback in the final rule on alternatives to health care professional shortage scores to measure differences in health status when deciding how to allocate additional seats.

The agency has not finalized a proposal that would change the definition of patients considered eligible for Medicaid’s disproportionate percentage of hospital patients after receiving numerous comments on the matter.

The latter rule also clarifies the organ procurement payment policy – another provision that stakeholders have been waiting for. Community donor hospitals and transplant hospitals will charge procurement agencies less than agreed rates. But CMS chose not to finalize a proposal that would change Medicare’s share of organ procurement and other payment policies.

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