Tweaks only

CMS stands firm on doc-owned hos­pi­tal rule

Modern Healthcare - - THE WEEK IN HEALTHCARE - An­dis Robeznieks

The CMS gave no new ground on the health­care re­form law’s pro­vi­sion that strictly cur­tails physi­cian-owned hos­pi­tals. In the fi­nal rule on hos­pi­tal out­pa­tient and am­bu­la­tory surgery cen­ter pay­ments, the CMS made a few tweaks to the fed­eral rules that cur­tail the ex­pan­sion of physi­cian-owned hos­pi­tals and tighten physi­cian self-re­fer­ral pro­hi­bi­tions and pa­tient no­ti­fi­ca­tion re­quire­ments.

Scott Chris­tiansen, spokesman for the Physi­cian Hos­pi­tals of Amer­ica trade as­so­ci­a­tion, said in an e-mail that the rule doesn’t con­tain any “real changes or sur­prises,” and the CMS sum­ma­rized that the tweaks con­form to the Pa­tient Pro­tec­tion and Af­ford­able Care Act.

“We also be­lieve the new reg­u­la­tions will help min­i­mize an­ti­com­pet­i­tive be­hav­ior that can af­fect the de­ci­sion as to where a ben­e­fi­ciary re­ceives health­care ser­vices and would pos­si­bly en­hance the ser­vices fur­nished,” the CMS said in the rule.

The doc­u­ment mostly deals with the pro­cesses a physi­cian-owned hos­pi­tal must go through to re­quest ex­emp­tions to re­stric­tions on self-re­fer­ral and ex­pan­sion and sum­ma­rizes com­ments that the CMS re­ceived on pro­pos­als it made in July. The rule also in­cludes pro­vi­sions that physi­cian-owned hos­pi­tals must

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