September 8, 2020

CMS issues final inpatient payment rule for FY 2021

By: Judy Mathias
Share

Editor's Note

The Centers for Medicare & Medicaid Services (CMS) on September 2 issued its final inpatient prospective payment system (IPPS) rule, which will:

  • increase IPPS rates by 2.9% in FY 2021 for hospitals that report quality data and are meaningful users of electronic health records, resulting in an increase of about $3.5 billion.
  • require hospitals to report to CMS the median payer-specific rates for inpatient services negotiated with Medicare Advantage organizations, beginning in 2021.
  • create a new Medicare severity-diagnosis related group for Chimeric Antigen Receptor T-cell (CART-cell) therapy payment.
  • distribute $8.29 billion in disproportionate share hospital payments in FY 2021, a decrease of nearly $60.6 million.
  • provide add-on payments for 24 new technologies and expand the payments for certain antimicrobials approved under the Food and Drug Administration’s Limited Population Pathway for Antibacterial and Antifungal Drugs.

Sponsored Message

Read More >>

Sign Up For OR a.m.
Sign up for the free OR a.m. eLetter to get news like this in your inbox every morning!

OR Manager Jobs
Live chat by BoldChat