Home Resources 2019 Proposed Rules 2019 Proposed Rules IPPS Presentation
Proposed FY 2019 IPPS Update
MB is 2.8 percent – Offsets: -0.8% for productivity -0.75% for ACA mandate
• Subtotal = 1.25 percent increase +0.5 for documentation and coding per 21st
Century Cures Act and MACRA
Net Increase 1.75%
CMS says overall increase of update factors to be 2.1percent – increase is 1.75 percent???? Others would add 1.3 percent Uncompensated Care Capital Low volume Final Increase 3.4 percent Increase of $4 billion Bottom line – it’s still a numbers game
Other major factor reduction items VBP = 2.0 percent to all -- $1.9 billion (budget
neutral) HAC = 1.0 percent 25 worst [802 hospitals] Readmissions = up to 3.0 percent [2,610
hospitals] DSH = $1.483 billion increase over FY 2018
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