Final inpatient payment rule confirms price transparency push

Healthcare DIVE September 2, 2020
Hailey Mensik

Dive Brief:

• CMS is finalizing a price transparency push that uses median payer-specific negotiated charges from Medicare Advantage organizations to inform its calculations for inpatient hospital rates beginning in 2024, according to a final rule posted Wednesday.
• The Inpatient Prospective Payment System rule for 2021 includes a rate increase of 2.9% for general acute care hospitals.
• Other changes include the addition of 24 technologies to receive add-on payments, and finalizing a diagnosis-related group for CAR-T cancer therapies. CMS expects Medicare spending on new technology add-on payments to increase 120% year-over-year.

Dive Insight:

Hospitals have fought CMS’ push for price transparency since it began, though the agency is moving forward with its plan, including some additional tweaks, according to...

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