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1 1 (April 4, 2024)

handle is hein.crs/goveowp0001 and id is 1 raw text is: Medicare Hospital Payment A predetermined, fixed, per discharge payment for inpatient services furnished to Medicare beneficiaries, subject to adjustments. HOSPITAL DESIGNATION LOCATIONS ' Sole Community Hospital (SCH) AK HI All IPPS Hospital Designations SCH, MDH, LVH VT NH WA M1 ND MN W1 A Rl IL WY SD 1A R IN PA MJ C F OR NV C) V 1MD DE CA A/ UT KS AR; NC 0 - 12- F32- ELIGIBILITY CRITERIA Meets ONE of the following FOUR criteria: 0 > 35 miles from another IPPS hospital O Rural and 25-35 miles from another hospital and Is the exclusive hospital provider in the area, or < 50 beds, meets exclusive hospital provider criterion but for patient transfers to other hospitals for specialized care O Rural and 15-25 miles from a hospital that is inaccessible O Rural and > 45 minute drive to nearest other hospital ADJUSTED PAYMENT iheO of the following: IPS FY82 FY8/ FY96 FY06 Hospital-specific rate app i ler al r FY - Fiscal Year 1' Medicare-Dependent Hospital (MDH) Meets ALL of the following criteria: o Rural 0 100 beds :Notan SCH 0 6%are Mv1ed icare patients MP. willexpire effecive Jnuoiy 7 2025, if Congress eno extend the program Low-Volume Hospital (LVH) Meets ALL of the following criteria: 0> 15 mies from another IPPS hospital 0< 3,800 annual total discharges VHe r roresed tiled l Nseon ,lnr t, 205 f Con ess cnoeend the naent enteo. IPPS rcte J75% l th - oft Ill lin othe te ospit al-spef rate 6% 25% 625 0% Q 1-500 3,800+ 2 Annual patient 20%* discharges = IPPS + (IPPS x Applicable %) 'Hospitalspeifk rate IHSRiA pe dc rge p nt k aed on a ho tals a ere opetnrosts or ht rsing ipaint se ores to diare beO e r In c ta F sa per dischargepayrent basedonthe natina avergs opratingr of f urnis malhnv int serie tos ia enu erohsarieth HlEt E s yand s us t r tasutole edhefreeear.tro nded orar sys Designations: ~'Mcalyecllie Ntrual exluiv '.ota icc r of PPS hoptas 3, t55 nbxlile Mr lardhitl -ecss theyr ar evnirfo ,PW 7Us rage dipa ony t di!sces oed in t data. Sources: (11 analysis of revant statute reulations, and Centers for Medcar & Medicaid Services, 'FY202 Final Rule Impac t File ww '1c m ov medicare/ payment/prospective payment system/aute inpatient ppy 2024 ipp final rule home pageD a and Flex Monitorn Team, CAH List, ecember 2023 www flecxmonitong rghistorial cah-data-u Fhe F Monitoring em is an ademit consortum funded by the Feder al Offie of iural Healh Policy Information as of Aprl 4 20'4 Prepared by Marco Villagrana Analyst in Healh C are Fnancing John Gman Research Assistant Marl te Visual Information Speciist; and Molly Cox, Geospatial Informaton systems Analy st CRS DC 1 46 66 I 2 NO. of HOSPITALS 465 15%' WA StY NO 5 icc ws Sri OR NV CO Nt A AL Ii NM

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