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WHA Information Center (WHAIC) will post articles that are related to data submissions and data use.

Changes to the Hospital Inpatient Prospective Payment Systems and FY 2020 Rates

May 21, 2019

CMS is proposing to revise the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals to implement changes arising from our continuing experience with these systems for FY 2020 and to implement certain recent legislation.

CMS is also proposing to make changes relating to Medicare graduate medical education (GME) for teaching hospitals and payments to critical access hospital (CAHs). In addition, we are proposing to provide the market basket update that would apply to the rate of increase limits for certain hospitals excluded from the IPPS that are paid on a reasonable cost basis, subject to these limits for FY 2020.

News Alert: MS-DRG Changes Prevalent in IPPS FY 19 Proposed Rule

May 14, 2019

The 2019 Inpatient Prospective Payment System proposed rule covers many Medicare Severity Diagnosis-Related Groups (MS-DRGs) changes, in addition to changes to the Value-Based Purchasing (VBP), Hospital-Acquired Conditions (HACs), and Hospital Readmission Reduction program, as well as the post-acute care transfer policy.

Three Key Statistics on Hospital-Acquired Conditions

January 2, 2019

Hospital acquired conditions continue to cause excess healthcare spending and negatively impact patient care outcomes. Here are the key statistics you need to know about HACs as we head into the 2019 fiscal year.

10 Opportunities to Better Serve Individuals Dually Eligible for Medicaid and Medicare

December 20, 2018

Today, the Centers for Medicare & Medicaid Services (CMS) sent a letter to state Medicaid directors that outlines both existing and new opportunities for states to better serve individuals dually-eligible for Medicare and Medicaid. The letter highlights opportunities to implement new developments with Managed Care, use Medicare data to inform care coordination and program integrity initiatives, and reduce administrative burden for dually-eligible beneficiaries and the providers who serve them.

WHA Member Resources to Help in Compliance of Federal Rule on Posting Standard Charges

November 30, 2018

WHA has prepared resources for hospital members to assist in understanding the January 1, 2019, requirements and communicating with patients and the media about the chargemaster and related price transparency issues.

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