AHA appreciates efforts to partner with CMS to expand the effectiveness of value-based models. We believe that flexibility is critical, as some hospitals lack the scale or financial capacity to make the investments in care redesign that are necessary for success.
Inpatient Prospective Payment Systems (IPPS)
More than three-quarters of the nation's inpatient acute-care hospitals are paid under the inpatient prospective payment system, while nearly a quarter are paid based on costs and are called Critical Access Hospitals. The IPPS pays a flat rate based on the average charges across all hospitals for a specific diagnosis, regardless of whether that particular patient costs more or less. Everything from an aspirin to an artificial hip is included in the package price to the hospital.
This webinar will provide a review of updates to ICD-10-PCS and the Official Guidelines for Coding and Reporting that are effective October 1, 2026.
This webinar will provide a review of updates to ICD-10-CM and the Official Guidelines for Coding and Reporting that are effective October 1, 2026.
This webinar will provide an overview of the published CMS final rule for the fiscal year (FY) 2027 Inpatient Prospective Payment System (IPPS).
The AHA June 9 commented on the Centers for Medicare & Medicaid Services’ hospital inpatient prospective payment system proposed rule for fiscal year 2027.
The American Hospital Association appreciates the opportunity to comment on the CMS’ proposed Comprehensive Care for Joint Replacement Expanded (CJR-X) Model.
The AHA appreciates the opportunity to comment on the CMS hospital inpatient prospective payment system
proposed rule for fiscal year (FY) 2027.
The American Hospital Association comment letter on the Centers for Medicare & Medicaid Services’ inpatient psychiatric facility prospective payment system proposed rule for fiscal year 2027.
This member-only webinar highlights key provisions in the fiscal year 2027 Inpatient Prospective Payment System proposed rule, including the proposed Comprehensive Care for Joint Replacement Expanded (CJR-X) model. Specifically, AHA policy experts discuss proposals related to CJR-X, Medicare…
The AHA will host a webinar May 21 at 1 p.m. ET on key proposed changes to the fiscal year 2027 inpatient prospective payment system from the Centers for Medicare & Medicaid Services.