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.
AHA comments on the Centers for Medicare & Medicaid Services’ hospital inpatient prospective payment system proposed rule for fiscal year 2019.
- Medicare
- Inpatient Prospective Payment Systems (IPPS)
- Medicare DSH
- Electronic Health Records (EHRs) - Meaningful Use
- Health Information Technology (HIT)
- Interoperability
- Medicare Area Wage Index (AWI)
- Hospital Readmission Reduction Program
- Value-based payment
- Hospital-Acquired Condition Reduction Program
- Electronic Clinical Quality Measures
- Quality & Patient Safety
- Quality Measures
The Centers for Medicare & Medicaid Services (CMS) April 24 released its fiscal year (FY) 2019 proposed rule for the hospital inpatient and long-term care hospital (LTCH) prospective payment systems (PPS). A detailed summary of the proposed rule follows in the Regulatory Advisory below.
AHA has created a VBP calculator for hospital leaders to assess the impact of the VBP program on their organizations. The calculator is designed so that you enter your hospital's CMS Certification Number; the calculator will then estimate your net VBP gain or loss.
The FY 2019 Proposed Rule…
AHA has created a readmissions penalty calculator for hospital leaders to assess the impact of the Hospital Readmissions Reduction Program on their organizations. The calculator is designed so that you enter your hospital's CMS Certification Number; the calculator will then estimate your…
AHA has created a Medicare operating DSH calculator for hospital leaders to estimate hospitals’ operating DSH payments – both the empirical portion as well as the uncompensated care payment amounts. The calculator is designed so that you enter your hospital's CMS Certification Number; the…
The CMS April 24 issued its hospital inpatient prospective payment system and long-term care hospital PPS proposed rule for fiscal year (FY) 2019.
CMS today took several steps that would help deliver on its promise to ease regulatory barriers and allow America’s hospitals and health systems to better provide high-quality, efficient patient care. Last year, the AHA released a new analysis showing that providers spend nearly $39 billion a year…
Hospital-Acquired Conditions (HAC) Penalty Calculator FY 2017
Inpatient PPS Final Rule
(Uses HAC List Posted by CMS in Dec. 2016)
AHA has created a VBP calculator for hospital leaders to assess the impact of the VBP program on their organizations. The calculator is designed so that you enter your hospital's CMS Certification Number; the calculator will then estimate your net VBP gain or loss.
The FY 2019 and 2020 Final Rule…
AHA has created a Medicare operating DSH calculator for hospital leaders to estimate hospitals’ operating DSH payments – both the empirical portion as well as the uncompens