The AHA commented May 28 on the Centers for Medicare & Medicaid Services’ proposed rule for the inpatient psychiatric facility prospective payment system for fiscal year 2025, which would update the IPF payment rate by a net 2.6% compared to FY 2024. In the letter, AHA urged CMS to proceed with more caution on its IPF patient assessment instrument and expressed concern that its proposed 3.1% market basket update is inadequate. AHA also disapproved of CMS adopting the proposed 30-Day Risk-Standardized All-Cause Emergency Department Visit Following an Inpatient Psychiatric Facility Discharge measure, which would assess the number of ED visits and observation stays for any reason within 30 days of IPF discharge beginning with the calendar year 2025 performance period, which informs FY 2027 payments. 

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