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Archive for the Financial Feature Category

Proposed FY 2020 IPPS May Have an Incorrect Area Wage Index Value

The Centers for Medicare and Medicaid Services’ (CMS) proposed FY 2020 Inpatient Prospective Payment System (IPPS) rule may have an incorrect value regarding the area wage index (AWI). This involves the proposed reduction calculation for wage areas at and above the 75th percentile. CMS

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CBO Scores President’s Fiscal Year 2020 Budget

The Congressional Budget Office (CBO) has released estimates of the costs/ savings presented in the President’s FY2020 budget proposal. This year’s scoring pegs the savings at nearly $36 billion over 10 years. For details, see today’s second Financial Feature.

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Proposed FY 2020 Medicare IPPS and LTCH Update Released

The Centers for Medicare and Medicaid Services have released an extensive and very lengthy proposed rule to update both the Hospital Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) Prospective Payment System for fiscal year (FY) 2020.  Among many items, the

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Medicare Trustees Project Trust Fund Solvent Until 2026

The Medicare Hospital Insurance Trust Fund will have sufficient funds to pay full benefits until 2026, according to the latest annual report from the Medicare Board of Trustees. That’s unchanged from last year’s report, which projected that the Medicare trust fund would become insolvent three years

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CMS Releases Proposed Inpatient Psychiatric Facilities PPS Update for FY 2020

CMS has issued a proposed rule to update the Medicare Inpatient Psychiatric Facilities (IPFs) Prospective Payment System (PPS) for Fiscal Year 2020. CMS says the overall economic impact of the proposed rule is an estimated $75 million in increased payments to IPFs during FY

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CMS Proposes Skilled Nursing Facility FY 2020 PPS Update

CMS has issued a proposed rule to update the Medicare payment rates and the quality programs for skilled nursing facilities (SNFs) for FY 2020. CMS will begin using a new case-mix model, the Patient Driven Payment Model (PDPM), which focuses on the patient’s condition and resulting

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CMS Releases Proposed FY 2020 Hospice Wage Index, Payment Rate and Quality Reporting Requirements

CMS has issued a proposed rule that would update hospice payment rates, wage index values, and quality reporting items for fiscal year 2020. The rule also proposes to rebase the continuous home care (CHC), general inpatient care (GIP), and the inpatient respite care (IRC)

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CMS Issues Proposed Inpatient Rehabilitation Facility FY 2020 PPS Update

The Centers for Medicare and Medicaid Services (CMS) has released a proposed rule that would update the payment rates and quality reporting items for Inpatient Rehabilitation Facilities (IRFs) for Federal Fiscal Year 2020. CMS says that the overall economic impact of this proposed rule

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Senator Sanders Releases 2019 Medicare-for-All Bill 

Senator Bernie Sanders (I-VT) has released the 2019 version of his Medicare-for-All bill “to guarantee health care to every American as a right, not a privilege.” The Sanders’ legislation would fundamentally transform “the country’s dysfunctional health care system by eliminating profit-driven health insurance

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White House Releases FY 2020 Budget Proposal

President Trump recently submitted to Congress his budget request for fiscal year 2020. The budget request, which is not binding, proposes hundreds of billions of dollars in reductions to Medicare and Medicaid over 10 years.The budget request also contains a number of provisions related to drug pricing, opioids

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