CMS finalized the implementation of the new Medicare residence


The Center for Medicare and Medicaid Services stated in a long-awaited statement that designated areas with a shortage of health professionals will give priority to new inpatient positions funded by medical insurance. Final rule Go out on Friday.

The additional quota will be implemented in stages over five years, and the total funding for the next 10 years will be approximately US$1.8 billion. The first 200 places will be announced on January 31, 2023. This policy is part of the CMS expected payment system for the final hospitalization in 2022.

Congress Authorization Residential area added earlier this year.This is the biggest expansion Medical graduate education According to CMS, the plan has been over 25 years. These increases come at a time when healthcare is facing severe staff shortages.

Locations designated as areas with a shortage of health professionals will be given priority for new residency places. Rural teaching hospitals will be eligible to increase the maximum number of residents they can accommodate.

“Doctors are most likely to practice in the areas where they are hospitalized. Having additional residents trained in areas where support is most needed not only increases the number of providers in these underserved areas, but it also trains them to have a unique understanding of the specific needs of these communities. ,” Dr. Meena Seshamani, Director of the Medical Insurance Center, said at a press conference.

Hospitals that establish a new full-time residency program will also receive additional residency positions and an amount for each residency.

Hospital stakeholders are Divided into In a review of the rules earlier this year, CMS suggested how to allocate slots. The cooperative medical system chose a policy option supported by rural hospitals. The American Hospital Association and the American Association of Medical Colleges wrote in their comments that the CMS proposal to prioritize the allocation of spots to areas with shortages of health professionals would not reflect Congress’ intentions.

When CMS is deciding how to allocate additional positions, it requires feedback in the final rule on the scores of the shortage of alternative health professionals to measure the health gap.

After receiving numerous comments on this issue, the agency did not finalize a proposal that would change the definition of patients deemed eligible for the Medicaid portion of the hospital’s disproportionate percentage of patients.

The final rule also clarifies the payment policy for organ acquisition, which is another rule that stakeholders have been watching. Donor community hospitals and transplant hospitals will charge the purchasing organization the lower of the negotiated fees. But CMS decided not to finalize a proposal that would change the share of medical insurance in organ acquisition costs and other payment policies.



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