Regulatory Overload - AHA

Regulatory OverloadAssessing the Regulatory Burden on Health Systems, Hospitals and Post-acute Care ProvidersOctober 2017 Analytics and research support provided byRegulatory Overload : Assessing the Regulatory Burden on Health Systems, Hospitals and Post-acute Care Providers Table of ContentsExecutive SummaryI. IntroductionII. Research Scope and MethodologyIII. Assessing the Impact of Regulatory Compliance on Providers and PatientsA. Nationally, health systems, hospitals and PAC providers spend nearly $39 billion on the administrative aspects of Regulatory Physicians, nurses and allied health staff make up over one-quarter of the FTEs dedicated to Regulatory compliance, pulling clinical staff away from patient care Documenting conditions of participation adherence and billing/coverage verification processes are the most burdensome of the nine domains. Hospital CoPs Billing and coverage verification requirementsD.

• Provide more regulatory flexibility in payment reform models, such as providing waivers for restrictive rules that stymie the redesign of episodes of care across provider settings. • Eliminate the “96-hour rule” as a condition of payment for critical access hospitals.

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