Tag: inpatient psychiatric facilities

CMS Releases FY 2024 Inpatient Psychiatric Facility Final Rule

Member News

The Centers for Medicare & Medicaid Services (CMS) recently released a final rule to update the Medicare fee-for-service (FFS) prospective payment system (PPS) for inpatient psychiatric facilities (IPF) for fiscal year (FY) 2024, which begins Oct. 1, 2023.

Key provisions of the final rule include:

  • A 3.5% net increase to the IPF federal per diem base rate for providers that comply with the CMS IPF quality reporting (QR) program requirements, resulting in a final rate of $895.63, an increase from the current rate of $865.63.
  • A 3.5% increase to the electroconvulsive therapy per diem payment rate from the current $372.67 to $385.58 for providers that comply with the CMS IPF QR program requirements.
  • A rebased IPF PPS market basket to use FY 2021 data instead of FY 2016.
  • An increase in the labor-related share from the current 77.4% to 78.7%.
  • A 36% increase in the outlier threshold amount from the current $24,630 to $33,470 to maintain estimated outlier payments at 2% of total estimated aggregate IPF PPS payments. This will result in fewer cases qualifying for an outlier payment.
  • Modifying the excluded unit regulation to allow a hospital to open a new IPF unit and begin being paid under the IPF PPS at any time during the cost reporting period if the hospital meets certain requirements. Currently facilities cannot attain excluded unit status in the middle of a cost reporting period.
  • Changes to the IPF QRP including:
    • Adopting new quality measures, including one on patient experience.
    • Modifying the COVID-19 Vaccination Coverage Among Health Care Personnel measure
    • Removing two measures:
      • Patients Discharged on Multiple Antipsychotic Medications with Appropriate Justification (HBIPS-5).
      • Tobacco Use Brief Intervention Provided or Offered and Tobacco Use Brief Intervention Provided (TOB-2/2a).
    • Adopting a data validation pilot program starting with data submitted in 2025.

The MHA will provide IPFs with a facility-specific impact analysis and additional details on the final rule in the near future.

Members with questions should contact Vickie Kunz at the MHA.

MHA Comments on Medicare Fee-for-Service Proposed Rules

Member News

The MHA recently submitted comments to the Centers for Medicare and Medicaid Services (CMS) regarding the proposed rule to update the Medicare fee-for-service (FFS) inpatient rehabilitation facility (IRF) prospective payment system (PPS) for fiscal year (FY) 2024. These comments were due to the CMS June 2.

The MHA has also drafted comments regarding the FY 2024 Medicare FFS proposed rule to update the inpatient psychiatric facility (IPF) and the proposed rule to update the skilled nursing facility (SNF) PPS.  Comments on these rules are due June 5.

The CMS is expected to release final rules to update the IRF, IPF and SNF PPS around Aug. 1, for the Oct. 1, 2023, effective date. The MHA will provide members with an updated Medicare FFS impact analysis following release of the final rules.

Members with questions should contact Vickie Kunz at the MHA.

MHA Monday Report May 1, 2023

Monday Report
MHA Monday Report

capitol buildingSubcommittee Budget Recommendations Include Hospital Priorities

The release of the Michigan Senate and House Appropriations Health and Human Services Subcommittee budgets April 25 include broad investments in healthcare and specific investments advocated for by the MHA. The state budget is at …

Annual Meeting iconMHA Annual Membership Meeting Registration Open

Registration remains open for the 2023 MHA Annual Membership Meeting, scheduled June 28 through 30 at the Grand Hotel on Mackinac Island. The annual meeting will feature an outstanding lineup of healthcare experts, including Brian …

Upcoming Grant Deadline for Pediatric Inpatient Behavioral Health Programs

The MHA issued a request for proposal March 16 for a $50 million competitive grant program for Michigan healthcare entities to expand access to pediatric inpatient behavioral health services. The funding was appropriated by …

OCR Ends HIPAA Telehealth Enforcement Discretion

The U.S. Health and Human Services Office for Civil Rights (OCR) will end enforcement discretion for telehealth providers who utilize remote communication products that don’t comply with the Health Insurance Portability and Accountability Act of …

MHA Human Resources Member Forum Draws Hundreds

The MHA hosted a human resources member forum April 26 at the MHA Headquarters in Okemos and virtually with about 200 leaders participating. Moderators Patrick Irwin, vice president, human resources, South Market, Henry Ford Hospital …

New MHA Resource Outlines Scope of Practice for RNs & LPNs

To help members understand the difference in scope of practice between licensed practical nurses (LPNs) and registered nurses (RNs) under the Michigan Public Health Code, the MHA has developed a new member resource, Understanding LPN …

2023 Ludwig Nominee: Health Equity for LGBTQ+ Young People: A Collaboration between Henry Ford Health and Ruth Ellis Center

Since 1990, the MHA has honored member healthcare organizations working to enrich the overall welfare of their local communities through the Ludwig Community Benefit Award. This year, the MHA is excited …

Hillsdale Podcast Explores Hospital Financial Viability, Workforce Restoration and More

In conjunction with the MiCare Champion Cast, Hillsdale Hospital released an episode of the Rural Health Rising podcast April 27 featuring MHA CEO Brian Peters. Joining hosts Jeremiah Hodshire, CEO of Hillsdale Hospital, and Rachel …

Advocacy and Relationship Building Important Roles for Trustees

Governing board members are valuable spokespeople for their hospitals because they represent the voice of the community in support of important policy viewpoints and strategic positions. The MHA Board Governance Education webinar series, which includes …

The Keckley Report

Paul KeckleyThe Debt Ceiling Debate is Problematic for Healthcare

“Last week, 35,000 gathered in Chicago to hear about the future of health information technologies at the HIMSS Global Health Conference & Exhibition where generative AI, smart devices and cybersecurity were prominent themes. …

The upcoming debt ceiling debate comes at a pivotal time for healthcare because it does not enjoy the good will it has in decades past. The pandemic, dysfunctional political system and the struggling economy have taken a toll on public confidence. Long-term planning for the system’s future is subordinated to the near term imperative to control costs in the context of the debt ceiling debate. …“

Paul Keckley, April 24. 2023

News to Know

The Rural Health Redesign Center and Mathematica are hosting a webinar May 1 from 11 a.m. to noon ET for hospitals interested in the rural emergency hospital (REH) designation.

Sarah ScrantonMHA in the News

The MHA received media coverage the week of April 24 regarding the MHA Keystone Center’s work implementing the Age-friendly Health Systems initiative throughout Michigan and how Michigan health systems are utilizing foreign nurses to fill …

MHA Monday Report April 24, 2023

Monday Report
MHA Monday Report

Healthcare Policy Bills Advance from Legislative Committeescapitol building

Several bills tracked by the MHA saw further action in the Michigan Legislature the week of April 17. Committees in the House and Senate took votes on bills to create a new tax credit for blood donations and to allow …

New MHA Resource Outlines Changing Public Health Emergency Flexibilities

The U.S. Department of Health and Human Services COVID-19 public health emergency will expire May 11, 2023. The end of the PHE will eliminate several pandemic flexibilities, while others have been extended by Congress. …

MHA Unemployment Compensation Program Receives National Recognition

The MHA Unemployment Compensation Program (UCP) was recognized by the National Association of State Workforce Agencies (NASWA) April 19 for the MHA UCP’s commitment to utilizing the NASWA’s nationwide, web-based system SIDES for receiving new claims …

FAQs Released for Michigan Physician Order for Scope of Treatment

The Michigan Physician Order for Scope of Treatment is an optional advance care planning form for adult patients with advanced illness or frailty for whom, based on their current medical condition, death would occur …

New State Psychiatric Hospital to Replace Hawthorn Center

The Michigan Department of Health and Human Services and the Department of Technology, Management & Budget announced the state will construct a new $325 million psychiatric hospital located at the current site of Hawthorn Center …

Latest AHA Trustee Insights Focuses on Board Competency

A hospital governing board must truly understand factors influencing their community’s healthcare and recruit trustees with the competencies needed to effectively guide annual priorities, objectives and strategies for the hospital. The March edition of Trustee Insights, the …

The Keckley Report

Paul KeckleyHospital CEO Pay: in the Spotlight: Three Critical Facts and Important Implications

“In recent months, compensation for hospital CEOs has received heightened attention among regulators, policymakers, academic researchers and in media …

The burden falls on Boards to bolster messaging to address transparency concerns, misinformation and disinformation on a broad range of issues including CEO pay. It falls on the Board compensation committees to justify adjustments to compensation that address the long-term sustainability of the organization, incorporating measures in addition to financial performance in evaluating the CEO’s performance. And increasingly, the relationship between the CEO’s pay to the short and long-term performance of the organization and to the “average worker’s pay” will be closely scrutinized.“

Paul Keckley, April 17, 2023

Annual Meeting iconNews to Know

  • The MHA membership will convene in person for the MHA Annual Membership Meeting June 28 through 30 at the Grand Hotel on Mackinac Island.
  • The Root Cause Coalition is accepting requests for proposals by April 24 to present at the 8th Annual National Summit on the Social Determinants of Health Dec. 3-5 in Kansas City.

MHA in the News

Brian PetersCrain’s Grand Rapids Business published a story April 20 on the annual release of the West Michigan Works! list of “hot jobs,” with nearly half of the 100 high-demand careers being in health-related professions. …

 

CMS Releases FY 2024 Inpatient Psychiatric Facility Proposed Rule

Member News

The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule to update the Medicare fee-for-service prospective payment system (PPS) for inpatient psychiatric facilities (IPF) for fiscal year (FY) 2024, beginning Oct. 1, 2023. Key provisions of the proposal include:

  • A 3.1% net increase to the IPF federal per diem base rate for providers that comply with the CMS IPF quality reporting (QR) program requirements, resulting in a proposed rate of $892.58, up from the current $865.63.
  • A 3.1% increase to the electroconvulsive therapy (ECT) per diem payment rate from the current $372.67 to $384.27 for providers that comply with the CMS IPF QR program requirements.
  • A rebased IPF PPS market basket to use FY 2021 data instead of FY 2016.
  • An increase in the labor-related share from the current 77.4% to 78.5%.
  • A 41% increase in the outlier threshold amount from the current $24,630 to $34,750 to maintain estimated outlier payments at 2% of total estimated aggregate IPF PPS payments. This will result in fewer cases qualifying for an outlier payment.
  • Modifying the excluded unit regulation to allow a hospital to open a new IPF unit and begin being paid under the IPF PPS at any time during the cost reporting period if the hospital meets certain requirements. Currently, facilities cannot attain excluded unit status in the middle of a cost reporting period.
  • Changes to the IPF QRP including:
    • Adopting four new quality measures, including one on patient experience.
    • Modifying the COVID-19 Vaccination Coverage Among Health Care Personnel measure.
    • Removing two measures:
      • Patients Discharged on Multiple Antipsychotic Medications with Appropriate Justification (HBIPS-5).
      • Tobacco Use Brief Intervention Provided or Offered and Tobacco Use Brief Intervention Provided (TOB-2/2a).
    • Adopting a data validation pilot program starting with data submitted in 2025.

The MHA will provide IPFs with a facility-specific impact analysis and additional details on the proposed rule in the near future. The MHA also encourages members with IPF operations to review the proposed rule, provide comments to Vickie Kunz at the MHA by May 25 and submit comments to the CMS by June 5. The CMS is expected to release a final rule around Aug. 1, for an Oct. 1, 2023, effective date.

Members with questions should contact Vickie Kunz at the MHA.

CMS Releases FY 2023 Inpatient Psychiatric Facility Final Rule

Member News

The Centers for Medicare & Medicaid Services (CMS) recently released a final rule to update the Medicare fee-for-service (FFS) prospective payment system (PPS) for inpatient psychiatric facilities (IPFs) for fiscal year (FY) 2023, which begins Oct. 1, 2022. In response to comments received urging the CMS to recognize the inflationary pressures currently faced by IPFs and other providers, the final rule provides a 3.9% net rate increase, up from the proposed 2.9% net increase.

Key provisions of the final rule include a:

  • 3.9% increase in the IPF federal per diem base rate for providers that comply with the CMS IPF quality reporting (QR) program requirements, resulting in a rate of $865.63, up from the current $832.94.
  • 3.9% increase to the electroconvulsive therapy treatment rate from the current $358.60 to $372.67 for providers that comply with the CMS IPF QR program requirements.
  • Permanent limit of 5% for annual decreases to the wage index.
  • Slight increase in the labor-related share from the current 77.2% to 77.4%, which will increase payments for IPFs with a wage index greater than 1.0.
  • 54% increase in the outlier threshold amount from the current $16,040 to $24,630 to maintain estimated outlier payments at 2% of total estimated aggregate IPF PPS payments. This will result in fewer cases qualifying for an outlier payment.

The MHA continues to review details of the final rule and will provide IPFs with an updated impact analysis for Medicare FFS patients in the near future. Members with questions should contact Vickie Kunz at the MHA.

MHA Monday Report April 11, 2022

Monday Report
MHA Monday Report

MHA Covid-19 update

Combating the Novel Coronavirus (COVID-19): Week of April 4

The Michigan Department of Health and Human Services reported there were an average of 752 new confirmed and suspected COVID-19 cases per day from April 2 through April 6. As of April 6, 453 adults and 17 children were hospitalized with confirmed and suspected cases; 96 adults were in intensive care units, 39 of them …

capitol building

Prior Authorization Bill Signed into Law

Legislation to decrease wait times for commercial insurance prior authorization requests was signed into law by Gov. Gretchen Whitmer April 7. Senate Bill 247, introduced by Sen. Curt VanderWall (R-Ludington), will shorten the timeline for approval to seven calendar days or 72 hours for urgent requests, as well as ensure that …

Medicaid Proposed Policy to Allow Back Transfers for NICU Infants

The Michigan Department of Health and Human Services recently released a proposed policy, effective July 1, 2022, allowing authorization for return transfers of stabilized infants from a neonatal intensive care unit back to the community hospital from which the patient was …

Proposed Rule to Update Inpatient Rehabilitation Facilities Payment for FY 2023

The Centers for Medicare & Medicaid Services recently released a proposed rule to update the Medicare fee-for-service prospective payment system for inpatient rehabilitation facilities for fiscal year 2023, which begins Oct. 1, 2022. Key highlights of the proposal include …

CMS Releases FY 2023 Proposed Rule for Inpatient Psychiatric Facilities

The Centers for Medicare & Medicaid Services recently released a proposed rule to update the Medicare fee-for-service prospective payment system for inpatient psychiatric facilities for fiscal year 2023, which begins Oct. 1, 2022. Key highlights of the proposal include …

Webinar Focused on Governance and Leadership Accountability

Where is the line between governance and management? The truth is each board must set its own boundaries on governance versus management decisions, and boards must continuously revisit this line. The webinar You and Your Board: Creating a Synergistic Combination, offered from noon to 1 p.m. April 27 …

MHA Hosts Twitter Chat on Emergency Department Medication for Opioid Use Disorder

The MHA hosted a one-hour Twitter chat March 4 to discuss Emergency Department (ED) Medication for Opioid Use Disorder (MOUD). The chat allowed participants to engage with their peers and share information and resources related to ED MOUD, as many of these programs help address …

Explore Resources During Workplace Violence Awareness Month

Healthcare workers across the country are experiencing a growing rate of incidents of violence against front-line caregivers, including workers in Michigan. In fact, healthcare workers are nearly four times more likely to experience violence than individuals in other industries, according to the …

Paul KeckleyThe Keckley Report

Medicare Trustees’ NHE Report: Interesting Read but Understandably Flawed

“Last Monday, Medicare Trustees released the 56th edition of their National Health Expenditures (NHE) Forecast for 2021-2030 which is widely used by policymakers and operators to gauge what’s ahead for U.S. healthcare. Regrettably, it’s flawed.”

Paul Keckley, April 4, 2022

News to Know

The Circle of Life Awards recognize innovative palliative or end-of-life care providers that measure and evaluate the impact of their work on patients, family and/or the community. Part 1 applications for the 2023 awards will be accepted through May 31.

CMS Releases FY 2023 Proposed Rule for Inpatient Psychiatric Facilities

Member News

The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule to update the Medicare fee-for-service (FFS) prospective payment system (PPS) for inpatient psychiatric facilities (IPFs) for fiscal year (FY) 2023, which begins Oct. 1, 2022. Key highlights of the proposal include:

  • A 2.9% increase to the IPF federal per diem base rate for providers that comply with the CMS IPF quality reporting program (QRP) requirements, resulting in a proposed rate of $856.80, up from the current $832.94.
  • A 2.9% increase to the electroconvulsive therapy per diem payment rate from the current $358.60 to $368.87 for providers that comply with the CMS IPFQRP requirements.
  • A permanent policy to smooth the impact of year-to-year IPF payment reductions related to decreases in the wage index. The CMS is proposing that an IPF’s wage index for FY 2023 and subsequent years would not be less than 95% of its prior year wage index.
  • A slight increase in the labor-related share from the current 77.2% to 77.4%, which will increase payments for IPFs with a wage index greater than 1.0.
  • A 51% increase in the outlier threshold amount from the current $16,040 to $24,270 to maintain estimated outlier payments at 2% of total estimated aggregate IPF PPS payments. This will result in fewer cases qualifying for an outlier payment.
  • No changes to the IPFQRP, but the CMS included a request for information on several quality reporting-related topics:
  • General framework that could be used across the CMS QRPs, including principles for selecting quality measures for stratified reporting and a discussion of the benefits and drawbacks of various reporting methods.
  • Approaches that could be used in the IPFQRP to address health equity, including statistical methods to identify specific drivers of inequities and quality measures assessing facility performance in addressing health equity.
  • The concepts described in the previous sections and thoughts about disparity measurement or stratification guidelines for the CMS QRPs.

The MHA will review details of the proposed rule and provide IPFs with an estimated impact analysis for Medicare FFS patients soon. The CMS is accepting comments until May 31. Members with questions should contact Vickie Kunz at the MHA.