CMS Releases 2013 IPPS Final Rule

Michelle A. Leppert, for HealthLeaders Media , August 3, 2012

VBP proposed changes

Beginning in FY 2013 and continuing annually, CMS will adjust hospital payments based on how hospitals perform or improve their performance on a set of quality measures. In the FY 2013 IPPS final rule, CMS establishes:

  • When hospitals will receive Total Performance Scores
  • The application of the 1% reduction to base-operating DRG amounts for FY 2013 discharges
  • That value-based incentive payments will be made begin in January 2013 with respect to discharges occurring in FY 2013

CMS finalized several policies for the FY 2015 Hospital VBP Program, including:

 

  • Grouping and scoring measures in four domains: clinical process of care, patient experience of care, outcome, and efficiency
  • Adding two new outcome measures and one new efficiency measure
  • Finalizing performance standards, including achievement thresholds and benchmarks for all measures

    The final rule will appear in the August 31, 2012 Federal Register. Download a display copy here.

 

 

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