Hospitals to See Big Changes in Reimbursement

In 2020 and 2021

By Health Capital Consultants, LLC

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Hospitals are likely to see some significant changes in the way that Medicare reimburses for inpatient services in the next couple of years, according to the calendar year (CY) 2020.
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The  Inpatient Prospective Payment System (IPPS) final rule that was published on August 16, 2019, and the announcement by the Centers for Medicare & Medicaid Services (CMS) on August 19, 2019, said that it would change the quality “star ratings” system on Hospital Compare, beginning in 2021.
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3 Responses

  1. 5 National Hospital Volume Observations: March 2020 vs. March 2019

    1. The median occupancy rate was 53% in March 2020 compared to 65% in March 2019
    2. Adjusted discharges fell 13.0%
    3. Adjusted patient days fell 15.1%
    4. Emergency department visits dropped 15.4%
    5. Operating room minutes fell 19.2%

    Source: [healthsprocket.com/hs/content/kaufmanhall-5-national-hospital-volume-observations-march-2020-relative-march-2019]KaufmanHall, April 2020

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  2. Hospital Patient Volume Declined 56% Between March 1 and April 15

    Crowe recently released a benchmarking analysis of hospital volumes for March and April. Here are some key findings from the report:

    • Average hospital patient volume declined 56% between March 1 & April 15 of this year.
    • For hospitals with 100+ beds, that represents a net revenue decline of $1.44 billion/day.
    • Inpatient admissions are running more than 30% below norms (compared January 2020).
    • ER visits, observation services, and outpatient surgeries are down 40%, 47%, and 71%.

    Source: Crowe, May 2020

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