CMS提出CARE拟议规则 精简医院与医疗机构行政要求 编号CMS-3484-P
美国医疗保险和医疗补助服务中心（CMS）11月5日提出名为 CARE 的拟议规则（编号 CMS-3484-P），拟系统修订联邦医保对医院、诊所等医疗机构的参与条件，减少被医疗机构普遍反映过重的行政与文书要求。该规则已通过《联邦公报》公开查阅程序对外发布，编号为2026-22812。
拟议规则涉及三类联邦标准：医疗机构参加 Medicare 的「参与条件」（Conditions of Participation）、参加 Medicaid 等项目的「覆盖条件」（Conditions for Coverage），以及长期护理机构等的「参与要求」（Requirements for Participation）。CMS 表示，修订方向是删减重复、过时的报告与记录要求，让医护人员把时间还给患者。
CMS 近年来持续推进监管减负，称繁复的合规文书是医护职业倦怠和医疗成本上升的推手之一。此次 CARE 规则把多个项目、多次修订的减负措施打包成一项综合规则，覆盖医院、门诊手术中心、透析机构、家庭健康机构等接受联邦医保支付的机构类型。
拟议规则在正式刊登《联邦公报》后将开启公众意见征询期，医院协会、医护团体与患者组织均可提交意见。CMS 将在汇总意见后发布最终规则，行政减负的具体条款生效时间以最终规则为准。（来源：美国医疗保险和医疗补助服务中心）
CMS Proposes CARE Rule, CMS-3484-P, to Cut Administrative Requirements Across Hospitals and Health Care Facilities
The Centers for Medicare & Medicaid Services (CMS) on November 5 proposed the CARE rule (CMS-3484-P), a package that would revise the federal conditions hospitals and other health care facilities must meet to participate in Medicare and Medicaid, cutting administrative and paperwork requirements that providers have long criticized as excessive. The rule was released through the Federal Register public inspection process under docket number 2026-22812.
The proposal touches three sets of federal standards: the Conditions of Participation for Medicare providers, the Conditions for Coverage for suppliers in programs such as Medicaid, and the Requirements for Participation for long-term care and other facilities. CMS said the revisions aim to remove duplicative and outdated reporting and record-keeping rules so clinicians can return time to patient care.
CMS has pursued regulatory burden reduction in recent years, arguing that heavy compliance paperwork contributes to clinician burnout and rising health care costs. The CARE rule consolidates burden-reduction changes across hospitals, ambulatory surgery centers, dialysis facilities, home health agencies and other provider types paid under federal health programs.
Once formally published in the Federal Register, the proposed rule will open for public comment, with hospital associations, clinician groups and patient organizations all able to weigh in. CMS will issue a final rule after reviewing comments, with effective dates set in the final regulation. (Source: Centers for Medicare & Medicaid Services)
来源：美国医疗保险和医疗补助服务中心
发布：GSM·美国（发布链接）
图片来源：美国卫生与公众服务部总部大楼（资料图），美国卫生与公众服务部，公共领域
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