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HAI warns resubmitted hospital financials complicate target adjustments; staff will present options
Summary
HAI staff told the board that prior‑year hospital financial resubmissions (AFDR) are pending validation and that it is operationally infeasible to fairly incorporate all possible revisions into the 2028 target‑setting cycle; staff will present analyses with and without validated resubmissions in late 2026.
HAI staff told the board on March 25 that resubmitted hospital annual financial disclosure reports (AFDRs) have created uncertainty in identifying high‑cost outlier hospitals used to set sector target adjustments.
Staff explained the AFDR complete dataset—published each fall—has been the basis for prior high‑cost hospital adjustments. Hospitals may resubmit prior‑year AFDRs; resubmitted files are processed and made available in HAI’s CRS system, but the complete dataset used for target setting does not automatically incorporate revisions.…
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