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Medicare Payment Boost for Long-Term Care Hospitals Treating Complex Patients.

This Act modifies Medicare payment rules for Long-Term Care Hospitals (LTCHs) to ensure higher funding for treating patients with the most severe and complex medical conditions. The goal is to incentivize hospitals to accept and effectively manage individuals requiring intensive, extended care. It also establishes new exceptions to payment limits for patients suffering from severe wounds, sepsis, or COVID-19, ensuring access to necessary care.
Key points
LTCHs will receive increased payments (up to 10%) for treating patients with multiple major complications, improving care quality for the critically ill.
New exceptions ensure full Medicare coverage for patients with specific complex conditions (like severe wounds or sepsis) who transfer from acute care hospitals.
The changes aim to stabilize LTCH finances, ensuring continued access to specialized long-term acute care services for beneficiaries.
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Additional Information
Print number: 118_HR_9125
Sponsor: Rep. Miller, Carol D. [R-WV-1]
Process start date: 2024-07-24