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- Medicare In-Patient Regulation Includes CAP-Advocated Health Diversity for Quality Measures
On August 1, the Centers for Medicare & Medicaid Services (CMS) released the 2023 Medicare Hospital Inpatient Prospective Payment System (IPPS) final regulation. In the final regulation, the CMS agreed with provisions that the CAP advocated for, including improving the formula to establish residence slots, and is considering the CAP’s concern regarding increasing stratification of quality measures in hospital reporting programs. The CAP advocates fair payment for the value pathologists provides and reduced regulatory burdens on pathologists.
In the proposed 2023 Medicare Hospital Inpatient regulation, the CMS sought input when advancing the use of measurement and stratification as tools to address health care disparities and advance health care equity. The CMS will utilize the CAP’s comments when advancing its initiative going forward. The CAP also urged the CMS change its calculations for the adjusted weighted direct graduate medical education methodology and stressed the importance of increasing pathology slots in residency programs. The CMS responded by adjusting the weight for direct graduate medical education full-time employee count in their methodology.
The final regulation updated Medicare fee-for-service payment rates and policies for inpatient hospitals for 2023.