HealthLeaders Media April 25, 2019
John Commins

Stakeholders back federal rules that factor in social determinants of health to create a more-level playing field for hospitals that provide care for sicker, poorer patients.

KEY TAKEAWAYS

Under the new rules, penalties for the hospitals serving the fewest poor patients are projected to increase more than $12 million in total.

Penalties for the hospitals serving the highest proportion of poor patients are projected to decrease by more than $22 million in total.

On an individual hospital level, the changes are projected to range from an increase in penalties of $225,000, to a decrease of $436,000.

New Medicare reimbursement rules that account for socioeconomic factors shift the burden of financial penalties toward hospitals serving...

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Topics: CMS, Govt Agencies, Health System / Hospital, Insurance, Medicare, Physician, Provider, RCM (Revenue Cycle Mgmt), Regulations
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