Provision in IPPS Rule Would Cut Payment Ties to Key Quality Measures

By Nina Youngstrom

In about six weeks, hospitals will find out if they will be free of some quality reporting and its ties to payment. The final 2019 inpatient prospective payment system (IPPS) regulation will address CMS’s proposal to reduce and “de-duplicate” quality measures, including measures in the Inpatient Quality Reporting (IQR) and Value Based Purchasing (VBP) programs.

“CMS says it’s trying to not just have measures for the sake of having measures, but to make sure its measures are meaningfully contributing to the overall quality of care,” says Washington, D.C., attorney Daniel Hettich, with King & Spalding. This is part of an initiative called Meaningful Measures.

The changes in the proposed IPPS regulation, which was published in the May 7 Federal Register, affect multiple quality programs, including:

(1) IQR, which collects and publishes inpatient data on various measures, including health care-associated infections, patient safety, mortality outcomes and process of care.

(2) VBP, which adjusts inpatient payments according to hospitals’ performance on a similar set of measures.

This document is only available to subscribers. Please log in or purchase access.
Purchase Login


Would you like to read this entire article?

If you already subscribe to this publication, just log in. If not, let us send you an email with a link that will allow you to read the entire article for free. Just complete the following form.

* required field

First name field cannot be blank!
Last name field cannot be blank!
We will send you an email that will give you access to this entire article.
Email field cannot be blank!
Enter a valid email!
Company field cannot be blank!
Enter a valid company!
Title field cannot be blank!

We're committed to your privacy. The Society of Corporate Compliance and Ethics (SCCE) & Health Care Compliance Association (HCCA) uses the information you provide us to contact you about our relevant content, products, and services. For more information, check out our Privacy Policy.


About SCCE

The Society of Corporate Compliance and Ethics (SCCE) is a non-profit, member-based professional association. SCCE supports our members' work with education, news, and discussion forums. We are a community of leaders, defining and shaping the corporate compliance environment across a wide range of industries and geographic regions. In developing and maintaining effective ethics and compliance programs, our members strengthen and protect their companies.

952.933.4977

About HCCA

The Health Care Compliance Association (HCCA), is a 501(c)6 non-profit, member-based professional association. HCCA was established in 1996 and is headquartered in Minneapolis, MN. We provide training, certification, and other resources to over 10,000 members. Our members include compliance officers and staff from a wide range of organizations, including hospitals, research facilities, clinics and technology service providers.

952.988.0141

Facebook Twitter LinkedIn
Copyright © 2024 by Society of Corporate Compliance and Ethics (SCCE) & Health Care Compliance Association (HCCA). No claim to original US Government works. All rights reserved. All information provided through this site, including without limitation all information such as the “look and feel” of the site, data files, graphics, text, photographs, drawings, logos, images, sounds, music, video or audio files on this site, is owned and/or licensed by SCCE & HCCA or its suppliers and is subject to United States and international copyright, trademark and other intellectual property laws. Any third party logos and/or content provided herein is owned by such third parties and is used by permission herein. Your use of this site to is subject to our Terms Of Use and Privacy Statement.
Cookie settings