–More than 30 community hospitals in more than 20 states can participate in a rural community hospital demonstration project, which is extended for one year.
–For rural hospitals with very low volume (800 to 1500 discharges per year), there is a payment increase available.
–The Medicare Payment Advisory Commission shall conduct a study of rural areas to assure access, adequacy of payments to providers, and the quality of care.
–HHS may adjust the payment formula for home health care. Any changes will be studied to make sure they don’t adversely affect the quality of or access to care.
–Hospice care data is to be collected, with the idea of reforming the way that it is paid for and reimbursed by Medicare on or after October 1, 2013.