(May 15, 2020) – The 2021 Inpatient Prospective Payment System Proposed Rule
released on May 11 adds another transparency requirement for providers. The proposed rule would require hospitals to report the median payer-specific negotiated rates for inpatient services by Medicare Severity-Diagnosis Related Group for Medicare Advantage organizations and third-party payers on the Medicare cost report. The Centers for Medicare & Medicaid Services is considering using these rates, beginning in fiscal year 2024, for calculating inpatient PPS MS-DRG relative weights. Comments on the proposed rule will be accepted by CMS through July 10, 2020. The Kansas Hospital Association will be providing comments on the entire proposed rule prior to that date.