The proposed rule, which was released in late April, includes a recommendation to add two new conditions to the hospital-acquired condition payment provision list. The list currently includes 10 conditions that are high-cost, high-volume or both and could have been prevented through evidence-based measures. Hospitals that fail to prevent these conditions are subject to payment cuts.
The two proposed conditions are surgical site infection following cardiac implantable electronic device procedures and pneumothorax with venous catheterization
In a letter to CMS, the AMA argued the conditions are not always preventable and the policy unfairly subjects providers to non-payment. Meanwhile, AAMC said the additional measures are “an unnecessary duplication,” as they are already or are proposed to be a part of the hospital value-based purchasing program.
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