Medicare

Medicare covers 15 percent of Illinoisans, resulting in a significant patient population for many Illinois hospitals. IHA analyzes the impacts of policy changes on hospitals and patients.

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Feb 04, 2020

2020 Medicare Payment Systems

This document is an updated reference table listing the principal components of 2020 Medicare fee-for-service payment systems.

Jan 28, 2020

2020 Federal Poverty Guidelines

The US Dept. of Health and Human Services released the annual updated federal poverty guidelines for 2020, which are used to establish financial eligibility for various federal programs.

Jan 14, 2020

CLFS PAMA Reporting Period Changes

CMS delayed the private payer data reporting period for Clinical Diagnostic Laboratory Tests until the period of January 1 to March 31, 2021.

Jan 09, 2020

Final Rule: CY 2020 OPPS/ASC with Correction Notice

CMS published a correction notice for final changes for CY 2020 OPPS/ASC payments effective Jan. 1, 2020.

Dec 19, 2019

Home Health Payment Final Rule

On Nov. 8, 2019, CMS published its annual final rule for the calendar year 2020 Medicare home health prospective payment system.

Oct 25, 2019

Final Rule: Changes to Medicare Conditions of Participation

CMS published a final rule making changes to the Medicare conditions of participation, including hospital and critical access hospital changes.

Oct 25, 2019

Revised Discharge Planning Requirements for Hospitals

CMS published in the Federal Register a final rule modifying discharge process requirements as a condition of participation for hospitals, critical access hospitals and home health agencies.

Oct 10, 2019

FFY 2020 CMS Final Medicare Payment Rules

In August, CMS published several annual final Medicare payment rules. These rules apply to discharges beginning on or after Oct. 1, 2019.

Sep 12, 2019

CMS Proposed Specialty Care Models: Radiation Oncology and End-Stage Renal Disease Treatment Choices

CMS published two proposed specialty care models specific to radiation oncology and end-stage renal disease. Comments on this proposed rule are due to CMS no later than Sept. 16.

Sep 06, 2019

FFY 2020 CMS Proposed Medicare Payment Rule for Home Health Services

On July 18, 2019, CMS published its annual proposed rule for CY2020 Medicare home health service payments. IHA provides estimates of the financial impact of this rule, as well as a detailed summary.

Sep 03, 2019

FFY 2020 CMS Final Rule Medicare Inpatient Prospective Payment System Summary

CMS published its annual final rule for Medicare inpatient and long-term acute care service payments for discharges beginning on or after Oct. 1, 2019. IHA estimates a 1.9% increase in IPPS rates.

Aug 27, 2019

CMS Proposed Payment Rule for CY 2020: OPPS; Estimated Hospital Outpatient Financial Impact Sheets

On Aug. 9, 2019, CMS published in the Federal Register (FR) its annual update regarding the Medicare outpatient prospective payment system (OPPS).

Jun 17, 2019

FFY 2020 CMS Proposed Medicare Other Inpatient Services Prospective Payment Systems Rule Summary

CMS posted proposed FFY 2020 Medicare inpatient prospective payment systems rules on inpatient rehabilitation, inpatient psychiatry, inpatient skilled nursing, inpatient long term care and hospice.

Jun 17, 2019

FFY 2020 CMS Proposed Medicare Inpatient Acute Prospective Payment System Rule Summary

On May 3, the Centers for Medicare & Medicaid Services (CMS) posted its proposed FFY 2020 Medicare inpatient acute prospective payment system rule in the Federal Register.

Feb 28, 2019

MACRA Workbook

This version of the IHA MACRA workbook addresses the major provisions of the calendar year (CY) 2019 Medicare Physician Fee Schedule and the CY 2019 MACRA QPP final rule. (Revised 3/15/19)

Jan 29, 2019

Medicare Payment Systems Table 2019

IHA has published the 2019 version of the Summary Table of the major components of Medicare payments for various levels of services, including physician services and bundled payment arrangements.

Oct 04, 2018

FFY 2019 Final IPPS Payment Rule Correction Notice

CMS corrections to errors that occurred in the August 17 publication.

Jan 11, 2018

CMS Final Rule Hospice Services

CMS published a Hospice Final Rule addressing Medicare hospice service payments