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2024 Medicare Physician Fee Schedule Final Rule Makes Changes to Medicare Shared Savings Program

Hall Render

On November 2, 2023, the Centers for Medicare & Medicaid Services (“CMS”) issued the 2024 Medicare Physician Fee Schedule Final Rule (“Final Rule”) for calendar year (“CY”) 2024. Standards for benchmarking and data completeness for the Medicare CQM collection type will mirror the MIPS benchmarking and scoring policies.

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Medicare Finalizes New Labor Market Areas Based on Census Data – Impact on Special Rural Status

Hall Render

The Centers for Medicare & Medicaid Services (“CMS”) released the 2025 Inpatient Prospective Payment System (“IPPS”) Final Rule (“Final Rule”) on August 1, 2024. Background on Rural and Urban Delineations Medicare classifies hospitals by rural and urban status for a variety of payment purposes.

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Medicare Finalizes New Labor Market Areas Based on Census Data – Impact on Special Rural Status

Hall Render

The Centers for Medicare & Medicaid Services (“CMS”) released the 2025 Inpatient Prospective Payment System (“IPPS”) Final Rule (“Final Rule”) on August 1, 2024. Background on Rural and Urban Delineations Medicare classifies hospitals by rural and urban status for a variety of payment purposes.

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Medicare’s Proposed Updates to Labor Market Areas and Impact on Special Rural Status

Hall Render

On April 10, 2024, the Centers for Medicare & Medicaid Services (“CMS”) released the 2025 Inpatient Prospective Payment System (“IPPS”) Proposed Rule (“Proposed Rule”). Background Medicare classifies hospitals by rural and urban status for a variety of payment purposes.

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Former CMS chief of staff previews 4 areas of value-based care in 2022

Healthcare IT News - Telehealth

This is why, as the new year approaches, Healthcare IT News has sat down with an expert in value-based care to get his views on what 2022 will hold for the payment system. Caravan Health is a privately held company formed to create sustainable methodologies for health systems to excel in value-based care. Looking ahead at 2022.

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HHS Publishes Proposed Payments for Rural Emergency Hospitals

Hall Render

The proposed payment policies include an initial monthly facility fee of approximately $268,000 per month, which will adjust in future years based on a market-basket update. REHs would also get a 5 percent add-on to most outpatient payments. Proposed REH Payments. 5 Percent OPPS Increase. million per year) for 2023.

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CMS Proposes Regulations for Rural Emergency Hospital CoPs and CAH Updates; Providers Wait for Clarification on Payment Policies

Hall Render

The Consolidated Appropriations Act, 2021 (the “Act”) signed into law on December 27, 2020, created a new Medicare provider type called a Rural Emergency Hospital (“REH”). The Proposed Rule did not contain the details of the payment policies for REHs, which CMS will develop in separate notice and comment rulemaking.