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Inpatient pay rule would give hospitals $2 5 billion boost

Inpatient pay rule would give hospitals $2.5 billion boost Print CMS on Tuesday proposed eliminating its plan for providers to disclose their contract terms with Medicare Advantage insurers, one of a slew of high ticket changes in its Hospital Inpatient Prospective Payment System rule. In the proposed rule, CMS said hospitals would no longer be expected to report the median payer-specific negotiated charge with MA insurers on its Medicare cost reports retroactive to Jan. 1, 2021. The change would eliminate more than 63,000 burden hours for providers. Hospitals have long challenged the agency s attempts to impose price transparency requirements, maintaining they wouldn t help consumers or lower healthcare costs.

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