Advisory Board February 23, 2021

CMS recently announced that 774 hospitals will face Medicare payment cuts in fiscal year (FY) 2021 under Medicare’s Hospital-Acquired Condition (HAC) Reduction Program.

Cheat sheet: Hospital-Acquired Condition Reduction Program

Background

The HAC program, which launched in October 2014, evaluates hospitals based on their rates of several avoidable complications, including bed sores, blood clots, central line infections, falls, and infection from methicillin-resistant Staphylococcus aureus (MRSA) or Clostridium difficile (C. diff).

Every year, the facilities in the lowest-performing 25% are penalized by losing 1% of their Medicare payments. So far, the program has penalized 1,978 hospitals at least once since it was established in 2014, according to a Kaiser Health News analysis. Of those, 1,360 hospitals have been penalized at least twice,...

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Topics: CMS, Govt Agencies, Health System / Hospital, Healthcare System, Insurance, Medicare, Provider, Safety
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