Search Results for keywords:"Prospective Payment System"

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Search Results: keywords:"Prospective Payment System"

  • Type:Proposed Rule
    Citation:90 FR 18590
    Reading Time:about 2 hours

    The proposed rule from the Centers for Medicare & Medicaid Services (CMS) intends to update policies and payment rates under the Skilled Nursing Facility (SNF) Prospective Payment System for FY 2026. It also suggests changes to the SNF Quality Reporting Program and the SNF Value-Based Purchasing Program, including removing certain patient data elements to reduce the burden on healthcare providers. Additionally, CMS seeks public input on potential changes like reducing data submission deadlines and enhancing digital quality measurement in SNFs. These updates aim to improve care quality without adding unnecessary burdens to providers.

    Simple Explanation

    Medicare wants to change how they pay for care at special homes where older people stay when they need extra help. They also want to make it easier for these homes to tell them how well they're taking care of people, but they need to make sure they're not making things too hard for the people running these homes.

  • Type:Proposed Rule
    Citation:90 FR 18534
    Reading Time:about 118 minutes

    The Centers for Medicare & Medicaid Services (CMS), part of the Department of Health and Human Services, has proposed updates to payment rates for inpatient rehabilitation facilities (IRFs) for fiscal year 2026. The proposal includes adjustments to prospective payment rates, the quality reporting program, and rural adjustments. CMS aims to update IRF payments by 2.6 percent with specific changes like adjusting the COVID-19-related measures and seeking public comments on proposed changes in data collection and reporting processes. These updates are presented with detailed impact analyses to assess how the changes might affect different types of IRFs.

    Simple Explanation

    The people in charge of Medicare want to change how they pay hospitals that help people get better after being sick. They also want to change some rules about reporting information, like not needing to tell about COVID vaccines for hospital workers anymore.

  • Type:Proposed Rule
    Citation:90 FR 18494
    Reading Time:about 2 hours

    The Centers for Medicare & Medicaid Services (CMS) is proposing updates to the payment system for Inpatient Psychiatric Facilities (IPFs) for the fiscal year 2026. The rule suggests changes to the payment rates, including a market basket increase of 3.2%, reduced by a productivity adjustment, resulting in a 2.4% overall increase. CMS is also proposing adjustments to quality reporting requirements by removing several measures that are seen as burdensome, such as the Facility Commitment to Health Equity and COVID-19 vaccination coverage measures. Additionally, CMS seeks to improve the accuracy of payments and reduce administrative burden by modifying various data reporting processes.

    Simple Explanation

    The government is planning to change the way it pays hospitals that help people with mental health needs to make it fairer and less complicated. They also want to make sure hospitals are doing a good job without making them fill out lots of annoying forms.