The Center for Medicare and Medicaid Services (CMS) recently proposed changes in the way Medicare payments for inpatient hospital visits are made through changing wage index calculations. In the proposed 2019 notice of public rulemaking (NPRM), CMS proposes two solutions to address th Medicare national standardized payments to account for differences in market area labor costs across the country. This blog discusses the implications of the NPRM for hospitals in rural areas.

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