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.
CMS’ payment updates for hospitals will exacerbate the already unsustainable negative or break-even margins many hospitals are already operating under as they care for their patients. The AHA is deeply concerned about the impact these inadequate payments will have on patient access to care,…
The AHA July 25 urged the Centers for Medicare & Medicaid Services to maintain the uninsured rate at 8.7% under the inpatient prospective payment system final rule for fiscal year 2025, which would help provide stability for DSH facilities.
In CMS’s upcoming fiscal year (FY) 2025 IPPS final rule, the AHA urges CMS to maintain the uninsured rate at its proposed level of 8.7%. Doing so would provide critical stability for DSH hospitals that serve low-income, uninsured and historically marginalized populations.
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 AHA submitted comments June 5 on the Centers for Medicare & Medicaid Services’ inpatient prospective payment system proposed rule for fiscal year 2025, expressing support for several provisions, including certain policies supporting low-volume and Medicare-dependent hospitals, and several…
AHA comments on the CMS;s hospital inpatient prospective payment system (PPS) proposed rule for fiscal year (FY) 2025.
The AHA commented May 28 on the Centers for Medicare & Medicaid Services’ proposed rule for the inpatient psychiatric facility prospective payment system for fiscal year 2025, which would update the IPF payment rate by a net 2.6% compared to FY 2024.
The AHA and FAH comments on the Transforming Episode Accountability Model (TEAM) proposals in the Centers for Medicare & Medicaid Services’ (CMS) inpatient prospective payment system (PPS) proposed rule for fiscal year (FY) 2025.
In this webinar, AHA Policy staff Shannon Wu, Tammy Love, Stephen Hughes, and Akin Demehin delved into the key provisions outlined in the FY 2025 Inpatient Prospective Payment System Proposed Rule. They explored topics, such as proposals concerning Medicare disproportionate share…
The Center for Medicare & Medicaid Innovation (CMMI) on April 10th proposed a new mandatory bundled payment model called the Transforming Episode Accountability Model (TEAM).