2019 Final RULES IPPS PRESENTATION

An Analysis and Commentary on Federal Health Care Issues by Larry Goldberg

Final FY 2019 IPPS Update

Rule is 2,593 pages (display copy) Has lengthy but good regulatory analysis section Display copy no longer available since reg is now published Copy from webinar is available Addendum is excellent to understand payment rate changes

MB is 2.9 percent – Offsets: -0.8% for productivity -0.75% for ACA mandate Subtotal = 1.35 percent increase +0.5 for documentation and coding per 21st Century Cures Act and MACRA Net Increase 1.85 percent.

Other major factor items VBP = 2.0 percent reduction to all -- $1.9 billion (budget neutral) – Winners & Losers HAC = 1.0 percent 25 worst [804 hospitals] Readmissions = up to 3.0 percent [CMS estimates that 2,599 or 84.88 percent of hospitals impacted] DSH = $1.506 billion increase over FY 2018

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