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 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.
In this webinar, AHA policy experts, Jennifer Holloman, Senior Associate Director, Physician and Alternative Payment Model Policy, Shannon Wu, Director, Inpatient Payment Policy and Akin Demehin, Senior Director, Quality Policy provided an overview of the TEAM final rule.
The Centers for Medicare & Medicaid Services (CMS) Aug. 1 issued its hospital
inpatient prospective payment system (PPS) and long-term care hospital (LTCH) PPS
final rule for fiscal year (FY) 2025.
The Centers for Medicare & Medicaid Services (CMS) Aug. 1 issued its hospital inpatient prospective payment system (PPS) and long-term care hospital (LTCH) PPS final rule for fiscal year (FY) 2025.
CMS’ payment updates for hospitals will exacerbate the already unsustainable negative or break-even margins many hospitals are already operating under as they care for their patients. The AHA is deeply concerned about the impact these inadequate payments will have on patient access to care,…
The AHA July 25 urged the Centers for Medicare & Medicaid Services to maintain the uninsured rate at 8.7% under the inpatient prospective payment system final rule for fiscal year 2025, which would help provide stability for DSH facilities.
In CMS’s upcoming fiscal year (FY) 2025 IPPS final rule, the AHA urges CMS to maintain the uninsured rate at its proposed level of 8.7%. Doing so would provide critical stability for DSH hospitals that serve low-income, uninsured and historically marginalized populations.
The AHA submitted a letter to the Centers for Medicare & Medicaid Services June 7, commenting on the fiscal year 2025 proposed rule for the long-term care hospital prospective payment system.