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 today issued a proposed rule that would increase Medicare inpatient prospective payment system rates by a net 2.8% in fiscal year 2024, compared with FY 2023, for hospitals that are meaningful users of electronic health records and submit quality…
The AHA is deeply concerned with CMS’ woefully inadequate proposed inpatient hospital payment update of 2.8% given the near decades-high inflation and increased costs for labor, equipment, drugs and supplies.
The Centers for Medicare & Medicaid Services (CMS) August 1 issued its hospital inpatient prospective payment system (PPS) and long-term care hospital (LTCH) PPS final rule for fiscal year (FY) 2023. The rule affects inpatient PPS hospitals, critical access hospitals (CAHs), LTCHs and PPS-…
Congress needs to hear the stark financial realities facing hospitals and health systems in the post-pandemic landscape. These resources can aid your conversations with lawmakers and their staffs as you impress upon them the urgent need to support hospitals amid crushing financial challenges.
The Centers for Medicare & Medicaid Services (CMS) August 1 issued its hospital inpatient prospective payment system (PPS) and long-term care hospital (LTCH) PPS final rule for fiscal year (FY) 2023.
Inpatient and outpatient prospective payment system hospitals, inpatient psychiatric facilities and PPS-exempt cancer hospitals have until Aug. 30 to preview their data for the October update to Care Compare.
We are pleased that CMS will provide hospitals and health systems with increased inpatient payments next year, rather than a cut as proposed, allowing them to better provide care for their patients and communities
we are deeply concerned that last week’s Centers for Medicare & Medicaid Services proposed rule would increase Medicare hospital outpatient prospective payment system rates by just 2.7% in calendar year 2023 compared to 2022. Given the current historic rates of inflation and continued labor and…
The deadline for signatures on the bipartisan “Dear Colleague” letters circulating in the House and Senate that ask CMS to make critical changes to the hospital IPPS proposed rule for FY 2023 to more accurately reflect the cost of providing hospital care to patients has been extended to close of…
A pair of House lawmakers introduced a “Dear Colleague” letter seeking critical changes to the CMS hospital inpatient prospective payment system proposed rule for fiscal year 2023.