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CMS Proposes Revising Medicare Hospital IPPS, Adding Addional Price Transparency Elements

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Healthcare Dive writes of new element to price transparency regulations being added by CMS, suggesting it will continue to collect data on hospital median payer-specific negotiated rates and consider how that information could be used to set relative Medicare payment rates.

In the draft of the Medicare Hospital Inpatient Prospective Payment system for fiscal 2021 posted Monday, the agency also proposed raising the rate for inpatient hospital services by about 1.6%, which would amount to nearly $2.1 billion.

The IPPS draft rule would also create a new diagnosis-related group,¬†or billing code, for CAR T-cell therapies for cancer treatment to help “predictably compensate hospitals for their costs” and “provide payment flexibility” as new therapies become available.

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