Most states with specific Medicaid HAC policies identify at least half of Medicare's current list of HACS, and "nearly half of those states defined a list that was different than Medicare's current list of HACs for nonpayment."
Feldpush pointed to other parts of the rule that provoke questions, such as:
What's at stake?
CMS estimates minimal financial impact when the rule takes effect in July 2012, with denied payments amounting to only $20 million for the federal share and $15 million for the state share for each year through 2015. However, the agency says, "these estimates could be higher if states elect to expand beyond the minimum requirements of this rule." It also doesn't indicate what hospitals will be required to absorb.
One issue CMS did clear up in the rule is that it will not restrict payment to a hospital that fixed a mistake another hospital made. This could pave the way for a hospital exchange of patients who had endured harm, even if it is an extremely informal one.