Prospective Payment Systems (PPS)
The Centers for Medicare & Medicaid Services June 30 issued its calendar year 2026 proposed rule for the home health prospective payment system. This rule would reduce HH payments by an estimated 6.4%, or $1.13 billion, in CY 2026 relative to 2025.
The AHA Sept. 9 commented on the Centers for Medicare & Medicaid’s outpatient prospective payment system proposed rule for calendar year 2025, expressing concerns about shortcomings in the market basket forecast and update for hospital outpatient departments
In this webinar, AHA staff discussed the recently released CY 2025 Physician Fee Schedule proposed rule. This rule proposes updates to physician fee schedule rates, changes to telehealth services, updates for behavioral health and opioid use disorder, and other aspects of physician…
The AHA along with the Federation of American Hospitals, America’s Essential Hospitals and the Association of American Medical Colleges July 29 filed an amicus brief in the U.S. Court of Appeals for the District of Columbia in support of hospitals’ continued right to seek immediate review of any…
The Centers for Medicare & Medicaid Services July 10 issued a proposed rule that would increase Medicare hospital outpatient prospective payment system rates by a net 2.6% in calendar year 2025 compared to 2024. This includes a proposed 3.0% market basket update, offset by a 0.4 percentage…
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.
The Centers for Medicare & Medicaid Services March 28 issued a proposed rule for fiscal year 2025 for the skilled nursing facility prospective payment system, which would increase aggregate Medicare spending by 4.1% or $1.3 billion compared with FY 2024.
AHA March 19 urged the Centers for Medicare & Medicaid Services to modernize its high-cost outlier policy for the long-term care hospital prospective payment system to reflect a shrinking patient population and more acute patient mix under the new dual-rate LTCH PPS payment structure.
The Centers for Medicare & Medicaid Services (CMS) on July 27 issued its final rule for the inpatient rehabilitation facility (IRF) prospective payment system (PPS) for fiscal year (FY) 2024.
The AHA is deeply concerned that CMS is proposing a CY 2024 outpatient hospital payment update of only 2.8% despite persistent financial headwinds facing the hospital field.