Medicare Reforms Projected to Save Hospitals, Providers $5B

CMS issued final rulings for Medicare Conditions of Participation and for the Medicare Regulatory Reform rule. The two rules are expected to create $5 billion in savings over the next five years.

According to CMS, savings in Medicare Conditions of Participation, the federal health and safety requirements in place to ensure quality care for patients, will come about by:

  • Requiring eligible candidates, including APRNs and PAs, to be reviewed by the medical staff for potential appointment to the hospital medical staff and then allowing for the granting of all the privileges, rights and responsibilities accorded to appointed medical staff members.
  • Supporting and encouraging patient-centered care by allowing a patient or his or her caregiver to administer certain medications.
  • Allowing hospitals to use a single, interdisciplinary care plan that supports coordination of care through nursing services.
  • Encouraging the use of evidence-based, pre-printed and electronic standing orders, order sets and protocols that ensure the consistency and quality of care provided to all patients by allowing nurses the ability to implement orders that are timely and clear.
  • Allowing hospitals to determine the best ways to oversee and manage outpatients by removing the unnecessary requirement for a single director of outpatient services.
  • Increasing flexibility for hospitals by allowing one governing body to oversee multiple hospitals in a single health system.
  • Allowing critical access hospitals to partner with other providers.

The new Medicare Regulatory Reform rule will "identify and begin to eliminate duplicative, overlapping, outdated, and conflicting regulatory requirements for health care providers and suppliers, including hospitals, ambulatory surgical centers, end-stage renal disease facilities, durable medical equipment suppliers, and a host of other health care providers and suppliers regulated under Medicare and Medicaid," CMS said in its new release.

Click here to read full updates to Medicare Conditions of Participation.

And click here to read the complete Medicare Regulatory reform rule.

More Articles Related to CMS:
CMS Releases Names of Medicare EHR Incentive Payment Recipients
2% Medicare Cuts Retained, Other Healthcare Spending Slashed Under House Committee Reconciliation Bill
AHA, CMS Find Common Ground at Annual Meeting

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