Reimbursement
OakWell will be reimbursed for its services by contracting with insurance companies that offer Medicare Advantage plans.
It also includes proposals for the SNF Quality Reporting Program and the SNF Value-Based Purchasing Program.
In response to increased mental health needs, CMS wants flexibility for hospitals to open and bill Medicare for a new inpatient psychiatric units.
Overall IRF payments for 2024 are expected to increase by 3.7%, or $335 million, relative to payments in 2023.
The finalized risk adjustment model reflects revisions focused on conditions that are subject to more coding variation.
CMS says the rule takes initial steps in a larger effort to address what it sees as fraud, waste and abuse.
CMS released 2024 Medicare Advantage Program and Part D Payment policies on Friday.
Due to external economic factors, relatively flat margins are likely to continue in the near term, data showed.
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The report also highlights the substantial gender pay gap among physicians, with men earning nearly $110,000 more than women.