Keynote Topics

The 2-Midnight Rule and Other Medicare Hospital Issues


Join your colleagues as Marc Hartstein, Principal at Health Policy Alternatives, discusses his experiences as Director of Hospital and Ambulatory Policy Group at CMS and provides advice on Medicare issues that Physician Advisors face every day.

What to Expect:

• The 2-midnight rule
• 3-day prior inpatient stay requirement for post-acute care in a skilled nursing facility
• Changes to the Inpatient Only List
• Fiscal Year 2024 Inpatient Prospective Payment System
• Calendar Year 2024 Outpatient Prospective Payment System
• How the Center for Medicare and Medicaid Service uses interaction with the public through the rulemaking processor otherwise to develop policy

Marc Hartstein

Marc joined Health Policy Alternatives as Principal after 26 years with the Centers for Medicare and Medicaid Services (CMS). Marc held several management and staff positions during his time at CMS, his last position being the Director of the Hospital and Ambulatory Policy Group. At CMS, Marc was central to the development of the Medicare Severity DRGs, the 2-midnight rule, Medicare policy for off-campus hospital outpatient departments, the misvalued code initiative, and regulations to implement Medicare’s new clinical laboratory fee schedule among other policies. Marc’s experience not only gives him detailed knowledge of the workings of the executive branch of government, he also has worked extensively with the legislative branch. He has assisted in the drafting of legislation, working with the Congressional Committees that have subject matter jurisdiction over Medicare. Marc has a master’s degree in public policy from the University of Minnesota’s Hubert H. Humphrey Institute of Public Affairs and a bachelor’s degree in political science and economics from the University of Vermont.