Health

Medicare 2024 Inpatient PPS Rule Gives 2.8% Increase

Hospitals that comply with the Quality Reporting Rules and Meaningful Use of Electronic Health Records policy will receive a 2.8% net increase in Medicare reimbursement in fiscal year 2024 under the rule proposed by the Centers for Medicare and Medicaid Services, under the rule proposed by Centers for Medicare and Medicaid services, by 2.8%.

Hospital inpatient care figures for the coming fiscal year are the result of a 3% increase in the market basket less a 0.2 percentage point reduction based on projected productivity gains. Institutions penalized for excessive readmissions or hospital-acquired conditions will receive less reimbursement, while value-based purchasing program participants will see their rates adjusted up or down based on performance.

Under the proposed rule, CMS will maintain a low-wage hospital policy that limits the decline in the wage index to 5%. CMS uses FY2019 data to calculate the FY2024 Payroll Index until more data becomes available.

Hospital groups protested that CMS’s proposals were unrealistic in a difficult economic climate.

” [American Hospital Association] deeply concerned about CMS’s woefully inadequate 2.8% inpatient hospital payment update given nearly a decade of high inflation and rising costs for labor, equipment, drugs and supplies. What’s more, under this proposal, long-term care hospitals will see a staggering 2.5% negative fee upgrade. These insufficient adjustments are simply not viable,” Ashley Thompson, senior vice president of public policy analysis and development, said in a press release.

“IPPS’ proposed inflation charge update is disappointing,” Federation of American Hospitals President and CEO Chip Kahn said in a press release. “It doesn’t take into account today’s headwinds, which will put strain on the social safety net in 2024, further hurting patients’ access to care as hospitals are forced to scale back services or, in some cases, especially in rural areas, close entirely.”

Security and justice

The draft regulation also aims to further CMS’s efforts to promote patient safety and health equity through the payment system. “This proposed rule reflects our people-centred approach to better measuring the quality and safety of health care in hospitals to reduce preventable harm, as well as our commitment to ensure that people with Medicare in rural and underserved areas have improved access to high-quality health care,” – CMS Administrator Chiquita. This is stated in the message Brooks-LaSure.

CMS offers three new reporting quality metrics: pressure sores; acute kidney injury; and excessive exposure. The Agency also intends to change three quality indicators: mixed standardized mortality from all causes of risk; hybrid readmission for all causes; and vaccinations against COVID-19 of medical personnel. And CMS proposes to drop three metrics: standardized risk of complications at the hospital level after elective primary total hip arthroplasty and/or total knee arthroplasty; Medicare costs for the recipient; and planned delivery before 39 completed weeks of pregnancy.

The proposed Fiscal Year 2024 Future Inpatient Payment System Rule also aims to advance CMS’s health equity agenda. The agency proposes to add 15 equity indicators for which data should be collected. The draft regulation will also strengthen stricter measures regarding homelessness as a complication or comorbidity.

Long term care hospitals

The same draft regulation includes proposed updates to the payment system for long-term care hospitals. The standard payment will increase by 2.9% in fiscal 2024, while the double rate payment will decrease by 0.9%.

Alex Kachik and Lauren Berryman contributed to this story.


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