Department of Health and Human Services: Centers for Medicare and Medicaid Services, Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2009 Rates; Payments for Graduate Medical Education in Certain Emergency Situations; Changes to Disclosure of Physician Ownership in Hospitals and Physician Self-Referral Rules; Updates to the Long-Term Care Prospective Payment System; Updates to Certain IPPS-Excluded Hospitals;
GAO-08-1119R: Sep 2, 2008
- Full Report:
GAO reviewed the Department of Health and Human Services, Centers for Medicare and Medicaid Services' (CMS) new rule on changes to several prospective payment systems, disclosure of physician ownership in hospitals, physician referral rules, updates to certain inpatient prospective payment system (IPPS)-excluded hospitals, and collection of information regarding financial relationships between hospitals. GAO found that (1) the final rule revises the Medicare hospital IPPS to implement applicable statutory requirements and changes, updates the rate-of-increase limits for certain hospitals and hospital units excluded from IPPS, revises the patient classifications and relative weights used under long-term care hospital prospective payment system, contains policy changes relating to the requirements for furnishing hospital emergency services, and states policies relating to payments for Medicare graduate medical education; and (2) with the exception of the delay in effective date, CMS complied with the applicable requirements in promulgating the rule.