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.
The Centers for Medicare & Medicaid Services (CMS) April 11 issued its fiscal year (FY) 2026 proposed rule for the inpatient rehabilitation facility (IRF) prospective payment system (PPS).
This webinar will provide an overview of the released CMS proposed rule for the fiscal year (FY) 2026 Inpatient Prospective Payment System (IPPS).
The Centers for Medicare & Medicaid Services (CMS) April 11 issued its hospital inpatient prospective payment system (PPS) and long-term care hospital (LTCH) PPS proposed rule for fiscal year (FY) 2026.
This webinar reviews key provisions proposed in the FY 2026 Inpatient PPS proposed rule, presented by AHA policy staff members Shannon Wu, Tammy Love, and Akin Demehin. Topics include proposals related to Medicare disproportionate share hospitals, Medicare-severity diagnosis-related group changes,…
The Centers for Medicare & Medicaid Services (CMS) April 11 issued its hospital inpatient prospective payment system (PPS) and long-term care hospital (LTCH) PPS proposed rule for fiscal year (FY) 2026.
America’s hospitals and health systems spend too many resources each year on regulatory requirements, forcing many of our clinicians to focus more time completing paperwork than treating patients. The AHA appreciates the Administration’s request for information on approaches and opportunities to…
The Centers for Medicare & Medicaid Services April 11 issued a proposed rule that would increase Medicare inpatient prospective payment system rates by a net 2.4% in fiscal year 2026, compared with FY 2025, for hospitals that are meaningful users of electronic health records and submit quality…
The AHA has long stated that while we appreciated CMS’ recognition of the wage index’s shortcomings, the agency should not have implemented this policy by penalizing all hospitals, especially when Medicare already pays far less than the cost of providing care. As such, if CMS does address payments…
The Centers for Medicare & Medicaid Services (CMS) Sept. 30 issued an interim final rule (IFR) with a comment period on the fiscal year (FY) 2025 hospital inpatient prospective payment system (PPS) low wage index policy. Specifically, the IFR discontinues the low wage index policy for FY 2025.
The Centers for Medicare & Medicaid Services Sept. 30 issued an interim final rule which will discontinue the hospital inpatient prospective payment system low wage index policy for FY 2025.