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Healthcare Business News
 

LTACs to see rise in Medicare payments; quality measures finalized


By Paul Barr
Posted: August 1, 2012 - 6:15 pm ET
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The CMS issued a final rule (PDF) that will give long-term acute-care hospitals an estimated 1.7% increase in fiscal 2013 Medicare payments beginning Oct. 1, an increase that is worth a total of $92 million.

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The CMS also finalized updates to quality measures to be used in fiscal 2014 and fiscal 2015 for LTAC hospitals and added two new measures for fiscal 2016, according to a CMS fact sheet. The new measures will gauge percentage of residents or patients who were assessed and appropriately given the seasonal influenza vaccine, and flu vaccination coverage among healthcare personnel.

LTAC hospitals that do not comply with the new reporting program will receive federal payments that are reduced by 2 percentage points beginning in fiscal 2014.

The CMS also said that future CMS LTAC reimbursement rates will be calculated using a market basket based solely on LTAC hospital cost reports, instead of the currently used market basket combining LTAC hospital, rehabilitation and psychiatric care.

The net payment change for fiscal 2013 takes into account a 0.7% productive reduction, other adjustments, the expected expiration this year of moratoria related to short-stay outlier payments and other time-limited adjustments to payments.


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