CMS drew opposition and support for a plan released in July to create obstetric conditions of participation for Medicare and Medicaid.
Federal officials intend to compel US hospitals to improve obstetrical services, with a plan that could result in a potential loss of Medicare and Medicaid funds for institutions that fail to comply with the demands.
In practice, hospitals, CMS, and accrediting bodies like the Joint Commission usually try to address deficiencies to prevent what would be a devastating financial loss for a hospital. CMS said it is trying to address the reasons women in the United States face more risk in giving birth than those in other nations. There were 22 maternal deaths for every 100,000 live births in this country in 2022, compared with 8.6 deaths per 100,000 live births or lower that year in Canada, France, the United Kingdom, Germany, and Japan, CMS said.
That means CMS likely will need to provide further guidance for hospitals if it proceeds with this plan for obstetric COP requirements, said Soumi Saha, PharmD, JD, senior vice president of government affairs at Premier, Inc., a healthcare consultancy and purchasing organization.Saha said a better approach would be to consolidate the work being done through the US Department of Health and Human Services , including earlier CMS projects, to address maternal health in a cohesive way.
The American College of Obstetricians and Gynecologists and the Association of American Medical Colleges also objected to the prospect of new conditions of participation for maternal healthcare. They detailed their concerns in separate comments submitted in June 2024.
Birth Control Contraceptive Management Management Of Contraception Pregnancy Pregnant Hospitals Medicaid Medicare Social Determinants Of Health SDOH Social Determinants Of Health (SDOH) Birth Rural Health Rural Medicine Rural Oregon Washington DC Washington - District Of Columbia Maternal Mortality Maternal Death
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