Risk Management Snapshot

Current issues and hot topics
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CMS Establishes Maternal Health and Safety Standards/Requirements with The CY 2025 OPPS Final Rule

An expectant mother waits to enter a rural healthcare facility. The Centers for Medicare & Medicaid Services (CMS) announced new baseline health and safety requirements for hospitals and Critical Access Hospitals (CAHs) providing obstetrical (OB) services to make pregnancy, childbirth, and postpartum care safer. These new requirements will require all hospitals providing OB care to implement changes in order to comply.  Your MMIC Risk Manager is available to assist you with these changes if needed.

CMS has finalized new health and safety requirements for hospitals and CAHs providing obstetrical services, which set baseline standards for the organization, staffing, and delivery of care within obstetrical units, update the quality assessment and performance improvement (QAPI) program, and require staff training on evidence-based maternal health practices.

Read the CMS press release on policies to reduce maternal mortality, increase access to care, and advance health equity.

The American Hospital Association (AHA) published a statement expressing concern that CMS’ approach may “inadvertently reduce access to maternal care.

MMIC offers policy premium discounts for hospitals that successfully participate in our Safe Care: Obstetrics program. For more information, contact your MMIC Risk Manager.

This article falls under Legal/Regulatory in the Enterprise Risk Management (ERM) risk domains.

Risk within this domain incorporates the failure to identify, manage and monitor legal, regulatory, and statutory mandates on a local, state and federal level. Such risks are generally associated with fraud and abuse, licensure, accreditation, product liability, management liability, Centers for Medicare and Medicaid Services (CMS) Conditions of Participation (CoPs) and Conditions for Coverage (CfC), as well as issues related to intellectual property.