On 14 April 2017, the Centers for Medicare & Medicaid Services (CMS) published the fiscal year (FY) 2018 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long Term Acute Care Hospital (LTCH) Prospective Payment System (PPS) proposed rule. The proposed rule includes a request for information (RFI) of unusual breadth. The primary focus of CMS’s RFI is on ways for reducing burdens on providers and patients. The RFI goes beyond the scope of the IPPS/LTCH PPS to seek public comment on virtually any way in which CMS, within its existing authority, can increase flexibility and efficiency in the Medicare program and potentially the nation’s health care system more generally, while reducing unnecessary burdens on providers, suppliers, patients, and their families.
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