By Blair Childs, Senior Vice President of Public Affairs, Premier
Members of the Premier alliance appreciate CMS using the updated National Health Expenditure Accounts data in calculating the uninsured rates in the Inpatient Prospective Payment System (IPPS) final rule. This more robust data source should result in additional uncompensated care payments for FY 2018. These funds will help ensure health systems can continue to provide top-quality care to low-income populations.
We also applaud CMS’s first steps in adjusting for socio-economic status in the hospital readmissions reduction program (HRRP). By measuring hospitals against other hospitals with a similar proportion of dual eligible patients, CMS is taking needed steps to fairly assess hospital performance. Longer term, however, we believe that CMS should continue to refine these payment adjustments to reflect other factors that are associated with higher rates of readmissions, including race/ethnicity, income, education, marital status, payer type and patient travel distance to providers. We look forward to working with CMS to enhance its methodology going forward.
-By Blair Childs, Senior Vice President of Public Affairs, Premier