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 Aug. 2 issued its hospital inpatient prospective payment system (PPS) and long-term care hospital (LTCH) PPS final rule for fiscal year (FY) 2019. View select highlights of the proposed rule related to the inpatient PPS.
The Centers for Medicare & Medicaid Services late today issued its hospital inpatient prospective payment system final rule for fiscal year 2019.
Tom Nickels
Executive Vice President
AHA provides input to CMS on how to better assist patients in accessing pricing information for health care services.
AHA comments on the Centers for Medicare & Medicaid Services’ hospital inpatient prospective payment system proposed rule for fiscal year 2019.
- Medicare
- Inpatient Prospective Payment Systems (IPPS)
- Medicare DSH
- Electronic Health Records (EHRs) - Meaningful Use
- Health Information Technology (HIT)
- Interoperability
- Medicare Area Wage Index (AWI)
- Hospital Readmission Reduction Program
- Value-based payment
- Hospital-Acquired Condition Reduction Program
- Electronic Clinical Quality Measures
- Quality & Patient Safety
- Quality Measures
The Centers for Medicare & Medicaid Services (CMS) April 24 released its fiscal year (FY) 2019 proposed rule for the hospital inpatient and long-term care hospital (LTCH) prospective payment systems (PPS). A detailed summary of the proposed rule follows in the Regulatory Advisory below.
AHA has created a VBP calculator for hospital leaders to assess the impact of the VBP program on their organizations. The calculator is designed so that you enter your hospital's CMS Certification Number; the calculator will then estimate your net VBP gain or loss.
The FY 2019 Proposed Rule…
AHA has created a readmissions penalty calculator for hospital leaders to assess the impact of the Hospital Readmissions Reduction Program on their organizations. The calculator is designed so that you enter your hospital's CMS Certification Number; the calculator will then estimate your…
AHA has created a Medicare operating DSH calculator for hospital leaders to estimate hospitals’ operating DSH payments – both the empirical portion as well as the uncompensated care payment amounts. The calculator is designed so that you enter your hospital's CMS Certification Number; the…
The CMS April 24 issued its hospital inpatient prospective payment system and long-term care hospital PPS proposed rule for fiscal year (FY) 2019.