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2018 IHA Regulatory Chart

Payment System Regulation

Description

Links and Resources

Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (LTCH)

Regulation to update Medicare payment policies and rates under the IPPS and LTCH PPS.

Medicare Conditions of Particpation Update select Conditions of Participation that hospitals and critical access hospitals must meet to participate in Medicare and Medicaid.    
Outpatient Prospective Payment (OPPS) and Ambulatory Surgical Center Payment Systems (ASC) and Quality Reporting Programs Regulation to update Medicare payment policies and rates under the OPPS and ASC PPS.
Physician Fee Schedule Regulations to update payment policies and rates under the Physician Fee Schedule.
Medicare Conditions of Participation: Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction Reform Medicare regulations that are identified as unnecessary, obsolete, or excessively burdensome on health care providers and suppliers. 
Medicaid and CHIP Managed Care Regulations Advances efforts to streamline the Medicaid and Children's Health Insurance Plan (CHIP) managed care regulatory framework and reflects a broader strategy to relieve regulatory burdents.
Medicare Part B Prescription Drug Payment Model Potential options for testing a new model for paying for prescription drugs under Medicare Part B provided in physician offices, hospital outpatient departments (HOPDs), and potentially other settings.
Inadmissibility on Public Charge Grounds Limits legal immigrants' future immigration status, such as ability to get a green card or become a citizen, baesd on their receipt of public benefits. 

 

2017 Regulatory Chart

2016 Regulatory Chart