Federal Regulations

Final Rule: Hospital Value-Based Purchasing Progam

On August 18, 2011, CMS will publish final rules in the Federal Register entitled Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and FY 2012 Rates; Hospitals’ FTE Resident Caps for Graduate Medical Education Payment. These final rules include a number of provisions to implement various sections of the Affordable Care Act. Among these provisions is the establishment of a hospital value-based purchasing program and applicable measures for value-based incentive payments with respect to discharges occurring during FY 2013 The link is an excerpt from the final rule with the text on Section 3001.

Final Rule: Quality Reporting Program for LTCHs

On August 18, 2011, CMS will publish final rules in the Federal Register entitled Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and FY 2012 Rates; Hospitals’ FTE Resident Caps for Graduate Medical Education Payment. These final rules include a number of provisions to implement various sections of the Affordable Care Act. Among these provisions is the submission of quality data for LTCHs beginning in FY 2013 in order to receive the full annual update to the payment rates beginning with FY 2014 and the establishment of quality data measures by FY 2012 for the FY 2014 payment determination.The link is an excerpt from the final rule with the text on Section 3004.  

Effective Date: October 1, 2011

Final Rule: Hospital Readmission Reduction Program

On August 18, 2011, CMS will publish final rules in the Federal Register entitled Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and FY 2012 Rates; Hospitals’ FTE Resident Caps for Graduate Medical Education Payment. These final rules include a number of provisions to implement various sections of the Affordable Care Act. Among these provisions are the requirements for a hospital readmissions reduction program and related quality data reporting measures. The link is an excerpt from the final rule with the text on Section 3025.

Effective Date: October 1, 2011

--------------------------------------------------------------------------------

Federal Agency Guidance

Meeting Notice: Accelerated Development Sessions for Accountable Care Organizations

CMS announcement of the second of four accelerated development sessions to provide executives with the opportunity to learn about core functions of an Accountable Care Organization and ways to build their organization’s capacity to succeed as an ACO. This is a two-day session September 15-16, 2011 to be held in San Francisco.

--------------------------------------------------------------------------------

Court Challenges and Litigation

11th Circuit Court of Appeals Finds Part of the Affordable Care Act Unconstitutional

The Federal Appeals Court has found the insurance mandate in the Affordable Care Act unconstitutional.

--------------------------------------------------------------------------------