Prospective Payment Systems (PPS)

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.
The Centers for Medicare & Medicaid Services July 13 issued a proposed rule that would increase Medicare hospital outpatient prospective payment system rates by a net 2.8% in calendar year 2024 compared to 2023.
The Centers for Medicare & Medicaid Services (CMS) April 4 issued its fiscal year (FY) 2024 proposed rule for the skilled nursing facility (SNF) prospective payment system (PPS).
Sens. Bob Casey, D-Pa., and Chuck Grassley, R-Iowa, have introduced the Rural Hospital Support Act (S.1110), AHA-supported legislation that would make permanent the Medicare-dependent Hospital program and enhanced low-volume Medicare adjustment for small rural prospective payment system hospitals.
The Centers for Medicare & Medicaid Services today instructed certified independent dispute resolution entities to resume making payment determinations for disputes involving items or services furnished on or after Oct. 25, 2022.
The AHA released a detailed summary of CMS' final rule for the calendar year 2023 home health prospective payment system.