I’m not really sure where the Centers for Medicare and Medicaid Services is trying to go with the two-midnight rule, but I fear it’s backwards.

The American Hospital Association and several hospitals have taken the gloves off and filed suit over the two-midnight rule, which stipulates that Medicare will not reimburse hospitals under Part A for inpatient-level services provided to Medicare beneficiaries for treatment that does not span two midnights. Instead, reimbursement will be reduced by making the services payable under Part B rates for outpatient services, along with a 0.2 percent Medicare payment reduction to offset the costs of the rule. Enactment has been postponed until March 2015 after two previous delays.  

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