FY24 Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH) Proposed Rule
Strategies and Insights Driving Impactful Payer Decisions:
FY24 IPPS and LTCH Proposed Rule Overview
Understanding the Proposed Changes:
This analysis delves into CMS’s FY24 Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (LTCH) PPS Proposed Rule (CMS-1785-P), highlighting key updates and their implications.
Key Insights Include:
- Challenge: Addressing the financial and operational impacts of updated IPPS and LTCH payment rates, policy adjustments, and classification changes.
- Approach: Magnolia Market Access provides tailored support, including financial modeling, policy impact analysis, and strategic submissions for ICD-10 and NTAP applications.
- Outcome: Strategic insights assist hospitals in navigating challenges and opportunities presented by CMS’s rule changes, such as adapting to payment rate updates and leveraging SDOH designations for equitable reimbursement strategies.
Highlights:
- Payment Adjustments: A projected 2.8% increase for general acute care hospitals under IPPS and 2.9% under LTCH PPS.
- Social Determinants of Health (SDOH): Proposed updates reclassify homelessness codes, enhancing compensation tied to higher care costs.
- NTAP Policies: Changes in approval timelines and application requirements, fostering increased transparency.
- MS-DRG Updates: Introduction of new classifications and delays in severity level criteria implementation.
Download the full analysis to discover actionable insights for aligning with CMS policies and driving successful market access strategies.
