Prospective Payment Models

Each year CMS evaluates and makes changes to the payment models based on services that are provided, but there is always a debate on who deserves cuts and who deserves payments. Join us as we dive into different payment models and discuss what that means.  

 

Informational Sources:

- https://www.cms.gov/newsroom/fact-sheets/fy-2023-hospital-inpatient-prospective-payment-system-ipps-and-long-term-care-hospital-prospective  

- https://relentlesshealthvalue.com/episode/aee16 

- https://www.federalregister.gov/public-inspection/2023-14624/medicare-and-medicaid-programs-cy-2024-payment-policies-under-the-physician-fee-schedule-and-other

- https://www.cms.gov/medicare/physician-fee-schedule/search/overview

- https://www.americanactionforum.org/insight/site-neutral-payments/#:~:text=Site%2Dneutrality%20is%20the%20policy,surgical%20center%2C%20or%20physician's%20office.  

- https://www.aha.org/fact-sheets/2023-05-22-fact-sheet-medicare-site-neutral-legislative-proposals-would-jeopardize-access-care