Health Reform WK-EDGE CMS proposes $90M raise for IPFs in FY 2021, COVID-19 vaccination measure
News
Monday, April 19, 2021

CMS proposes $90M raise for IPFs in FY 2021, COVID-19 vaccination measure

By Cathleen Calhoun, J.D.

IPFQR program would have a healthcare worker COVID-19 vaccination measure for FY 2023 under CMS proposal.

Inpatient psychiatric facilities (IPFs) would see a payment increase of $90 million in fiscal year (FY) 2022 relative to FY 2021, according to an advance release of the FY 2022 IPF prospective payment system (PPS) proposed rule. Other proposals include updating the IPF teaching policy with respect to IPF hospital closures and displaced residents and updating quality measures and reporting requirements under the Inpatient Psychiatric Facilities Quality Reporting (IPFQR) Program. The IPFQR program would have the COVID-19 Vaccination Coverage Among Healthcare Personnel (HCP) measure added as part of the update (Proposed rule, 86 FR 19086, April 12, 2021).

Payment update. CMS proposed, pursuant to Soc. Sec. Act §1886(s), a FY 2022 IPF update of 2.1 percent (2.3 percent market basket update, less 0.2 percentage point productivity adjustment). IPF PPS teaching policy with respect to IPF hospital closures and displaced residents would also be updated to address the needs of residents attempting to find alternative IPFs where they can complete their training. Technical rate setting changes would also be made, including, but not limited to, changing: (1) IPF PPS federal per diem base rate from $815.22 to $833.50; (2) IPF PPS Federal per diem base rate for providers who failed to report quality data to $817.18; (3) Electroconvulsive therapy (ECT) payment per treatment from $350.97 to $358.84; and (4) ECT payment per treatment for providers who failed to report quality data to $351.81.

Quality reporting program. Multiple changes are proposed to the Inpatient Psychiatric Facilities Quality Reporting (IPFQR) Program, including the soliciting of comments on health equity in the IPFRQ program. CMS stated it is committed to addressing the significant and persistent inequities in health outcomes through improving data collection to better measure and analyze disparities across programs and policies. Also, for FY 2023 payment determination and subsequent years, CMS is proposing to add the COVID-19 Vaccination Coverage Among Healthcare Personnel (HCP) measure to the IPFQR Program. The process measure was developed by the CDC to track COVID-19 vaccination coverage among health care providers in IPF settings. If implemented, the measure would be reported using the COVID-19 modules on the CDC’s National Healthcare Safety Network web portal. CMS is also proposing (1) to add the Follow-up After Psychiatric Hospitalization (FAPH) measure to the IPFQR Program for the FY 2024 payment determination and subsequent years, and (2) to adopt voluntary patient-level data reporting for data submitted for FY 2023 payment determination and mandatory patient-level data reporting for FY 2024 payment determination and subsequent years.

Other proposals. Reasoning that the costs outweigh the benefits, and that providers will be less burdened, CMS is proposing the removal of the following measures from the IPFQR program for the FY 2024 payment determination and subsequent years:

  • Alcohol Use Brief Intervention Provided or Offered and Alcohol Use Brief Intervention Provided (SUB-2/2a)
  • Tobacco Use Brief Intervention Provided or Offered and Tobacco Use Brief Intervention Provided (TOB-2/2a)
  • Timely Transmission of Transition Record (Discharges from an Inpatient Facility to Home/Self Care or Any Other Site of Care)
  • Follow-up After Hospitalization for Mental Illness (FUH)

CMS is not proposing to remove: (1) the Alcohol and Other Drug Use Disorder Treatment Provided or Offered at Discharge and Alcohol and Other Drug Use Disorder Treatment at Discharge measures, or (2) the Tobacco Use Treatment Provided or Offered at Discharge and Tobacco Use Treatment at Discharge measures.

MainStory: TopStory AgencyNews InpatientFacilityNews MedicarePartANews QualityNews

Back to Top

Interested in submitting an article?

Submit your information to us today!

Learn More

Health Reform WK-EDGE: Breaking legal news at your fingertips

Sign up today for your free trial to this daily reporting service created by attorneys, for attorneys. Stay up to date on health reform legal matters with same-day coverage of breaking news, court decisions, legislation, and regulatory activity with easy access through email or mobile app.