The Centers for Medicare & Medicaid Services (CMS) late today issued a hospital inpatient and long-term care prospective payment system proposed rule for fiscal year 2010 that would decrease average inpatient payments by 0.5%. The proposed rule includes an initial market-basket update of 2.1% for those hospitals that submit data on quality measures; hospitals not submitting data would receive a 0.1% update. Click here for the CMS proposed rule.
The proposed FY 2010 IPPS rule also would add four new quality measures to the existing set of 43 measures that hospitals must report to receive the full market basket update; under the FY 2010 proposal, hospitals that do not participate successfully in the reporting program would receive the market basket update less 2.0 percentage points, or 0.1% under the current projection.
Two of the measures—removal of a urinary catheter on postoperative day one or postoperative day two and management of perioperative temperature for surgery patients—are additions to the existing Surgical Care Improvement Project, while the other two are structural changes intended to promote hospital participation in stroke registries and nursing-sensitive care.
(SOURCE: AHA News Now, http://ahanews.com, May 1, 2009)