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 late today issued its hospital inpatient prospective payment system proposed rule for fiscal year 2018. The rule would increase rates by 1.6% in FY 2018 compared to FY 2017, after accounting for inflation and other adjustments required by law.
AHA letter to MedPAC
CMS on Dec. 20 finalized a new payment model that will bundle payment to acute care hospitals for heart attack and cardiac bypass surgery services. This Advisory highlights the critical changes CMS made to the programs from the proposed rule.
American Hospital Association's comments on MedPAC's draft recommendations for fiscal year 2018..
Hospital Value-based Purchasing Program: Impact Calculator
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Medicare Operating Disproportionate Share Hospital Payments: Impact Calculator
CMS on Aug. 2 issued its hospital inpatient prospective payment system and long-term care hospital PPS final rule for fiscal year (FY) 2017.
We are pleased CMS reversed the effects of the 0.2 percent payment reduction that was part of the original “two-midnight” policy, and restored the resources that hospitals are lawfully due. However, we are disappointed that CMS finalized an unjustified cut to reimbursement rates for hospital…