CMS proposes payment cuts to long-term care hospitals

The Centers for Medicare & Medicaid Services has issued a proposed rule that would reduce payment rates for long-term acute care hospitals by approximately 11% per discharge, according to industry representatives.

The long-term care hospital industry is expected to vigorously oppose the rule change, according to Peter C. Clendenin, executive vice president, National Association for the Support of Long Term Care, Alexandria, VA.

CMS is proposing that the long-term acute care hospital PPS federal payment rate remain unchanged at $38,000 for the 2007 year. Medicare payments to long-term care hospitals for FY 2007 are estimated to increase 70% over payments made in FY 2003, to $5.27 billion.

Long-term care hospitals generally have an average Medicare inpatient length of stay greater than 25 days. They provide extended medical and rehabilitative care for patients who are clinically complex and may suffer from multiple acute or chronic conditions.

CMS will solicit comments on the proposed rule, which is set to be published in Friday's Federal Register. CMS will accept comments on the proposal through March 20. 2006. The final rule will be published later this spring.

For more information, see the CMS web site at www.cms.hhs.gov/LongTermCareHospitalPPS/

More in News

Senate bill seeks to empower long-term care ombudsmen, strengthen eldercare workforce

Senate bill seeks to empower long-term care ombudsmen, ...

Senate lawmakers are seeking to strengthen and expand the long-term care ombudsman program and boost the eldercare workforce through a bill to reauthorize the Older Americans Act of 1965. The ...

CMS: Providers may need to reimburse beneficiaries due to inaccurate therapy denial ...

Therapy providers should review therapy cap denials for 2013 and refund any beneficiary payments for these services, according to a Medicare newsletter released Thursday.

Court upholds $5.75 million verdict against former nursing home officers, board members ...

A $5.75 million verdict will stand and there will be no new trial in the case against officers and board members of a former Pennsylvania nursing home, a federal judge recently ruled.