CMS Proposed Rule for Inpatient & long-term care Hospitals

April 11, 2023

On April 10, 2023, CMS released a proposed rule that will impact inpatient and long-term care hospitals (LTCH).   The proposed rule recognizes homelessness as a Social Determinant of Health (SDOH), looks to increase equity & safety, and reduce preventable harm.  For FY 2024, acute care hospitals who meet the requirements could see an increase in payments of 2.8% ($3.3B).  LTCHs will also see an increase in the payment rate by 2.9%, however this will be an overall “decrease by 0.9% ($24M), primarily due to a projected decrease in high-cost outlier payments in FY 2024 compared to FY 2023.” (CMS Press release

In addition to incentivizing hospitals who continue to perform well on previously established measures, CMS is looking to measure COVID-19 vaccination status for patients/residents in LTCHs,  cancer screenings, SDOH, and homelessness.  Read more about the proposed rule in CMS’ Fact sheet:

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