Binder notes that the AHA makes many of these arguments in its 58-page comment letter to CMS' proposed rules for paying hospitals for care of Medicare patients to take effect Oct. 1.
In one of the AHA passages I read, the industry group wants CMS to reconsider implementing a provision specified in the Patient Protection and Affordable Care Act that requires imposition of a 1% Medicare penalty or pay cut for hospitals with hospital-acquired condition rates that are the highest 25% bracket, starting Oct. 1, 2014.
"The selected measures (in the HAC rule) were selected using a flawed process and have significant methodological problems," the AHA wrote. And, it said, "the proposed scoring methodology would not meaningfully differentiate hospital performance," and would "disproportionately harm teaching hospitals and large hospitals [400 beds and over] that tend to care for sicker patients."
Binder seems to suggest that the hospital group is being disingenuous. In one letter to CMS, the AHA argues for delaying finalizing measures requiring public reporting and penalties for hospital-acquired surgical site, methicillin-resistant staphylococcus aureus, and C. difficile infections, "until performance on these measures has improved."