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GAO-09-284R 1 (2008-12-22)

handle is hein.gao/gaobadwwh0001 and id is 1 raw text is: I GA 0 T I M Accountability * Integrity * Reliability United States Government Accountability Office Washington, DC 20548 B-317621 December 22, 2008 The Honorable Carl Levin Chairman The Honorable John McCain Ranking Minority Member Committee on Armed Services United States Senate The Honorable Ike Skelton Chairman The Honorable Duncan Hunter Ranking Minority Member Committee on Armed Services House of Representatives Subject: Department of Defense, Office of the Secretary. TRICARE; Hospital Outpatient Prospective Payment System (OPPS) Pursuant to section 801(a)(2)(A) of title 5, United States Code, this is our report on a major rule promulgated by the Department of Defense (DOD), Office of the Secretary, entitled TRICARE; Hospital Outpatient Prospective Payment System (OPPS) (RIN: 0720-AB19). We received the rule on December 18, 2008. It was published in the Federal Register as a final rule on December 10, 2008. 73 Fed. Reg. 74,945. The final rule implements a prospective payment system for hospital outpatient services similar to that furnished to Medicare beneficiaries. The rule also recognizes applicable statutory requirements and changes arising from Medicare's continuing experience with this system, including certain related provisions of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003. The final rule implements an existing statutory requirement for adoption of Medicare payment methods for institutional care which will ultimately provide incentives for hospitals to furnish outpatient services in an efficient and effective manner. The final rule is effective on February 6, 2009. The Congressional Review Act requires major rules to have a 60-day delay in their effective date following publication in the Federal Register or receipt of the rule by Congress, whichever is later. 5 U.S.C. § 801(a)(3)(A). We did not receive the rule until December 18, 2008, GAO-09-284R

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