Director, Division of Acute Care Providers

0938-AT23 201710 The Regulatory Plan and the Unified Agenda of Federal Regulatory and Deregulatory Actions 0938 Centers for Medicare & Medicaid Services CMS 0900 Department of Health and Human Services HHS Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction (CMS-3346-P)

This proposed rule would reform Medicare regulations that CMS has identified as unnecessary, obsolete, or excessively burdensome on healthcare providers and suppliers. This rule would increase the ability of healthcare professionals to devote resources to improving patient care by eliminating or reducing requirements that impede quality patient care or that divert resources away from providing high quality patient care.

]]> Economically Significant First Time Published in The Unified Agenda Proposed Rule Stage Yes No Deregulatory 42 CFR 403 42 CFR 405 42 CFR 416 42 CFR 418 ... 42 U.S.C. 263a , 273, 1302, 1320a-7, 1320b-8,1395, 1395eee(f),1395hh, 1395i ,1395rr, 1396r ,1396u-4(f)) 42 U.S.C. 273 42 U.S.C. 1302 42 U.S.C. 1320a-7 42 U.S.C. 1320b-8 42 U.S.C. 1395 42 U.S.C. 1395eee(f) 42 U.S.C. 1395hh 42 U.S.C. 1395i 42 U.S.C. 1395rr 42 U.S.C. 1396r 42 U.S.C. 1396u-4(r) Yes

CMS is committed to transforming the healthcare delivery system, and the Medicare program, by putting an additional focus on patient-centered care and working with providers, physicians, and patients to improve outcomes. We seek to reduce burdens for hospitals, physicians, and patients, improve the quality of care, decrease costs, and ensure that patients and their providers and physicians are making the best healthcare choices possible.

We are therefore proposing changes to the current Conditions of Participation (CoPs) or Conditions for Coverage (CfCs) that would simplify and streamline the current regulations and thereby increase provider flexibility and reduce excessively burdensome regulations, while also allowing providers to focus on providing high-quality healthcare to their patients.

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Sections 1102 and 1871 of the Social Security Act (42 U.S.C. 1302 and 1395hh).

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From within the entire body of CoPs and CfCs, the most viable candidates for reform were those identified by stakeholders, by recent research, or by experts as unusually burdensome if not changed. This subset of the universe of standards is the focus of this proposed rule. For all of the proposed provisions, we considered not making these changes or changing them in other manners.

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This rule would create ongoing cost savings to providers and suppliers in many areas and significant additional health benefits. Other changes we have proposed would clarify existing policy and relieve some administrative burdens.

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Our estimates of the effects of this regulation are subject to significant uncertainty. While we are confident that these reforms will provide flexibilities to facilities that will yield major cost savings, there are uncertainties about the magnitude of these effects.

]]> NPRM 02/00/2018 Yes Businesses Organizations None No Yes No Alpha-Banu Wilson Director, Division of Acute Care Providers 0938 Centers for Medicare & Medicaid Services CMS 410 786-8687 alphabanu.wilson@cms.hhs.gov Center for Clinical Standards and Quality, 7500 Security Boulevard, Baltimore MD 21244