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.
Download the Regulatory Advisory
The Centers for Medicare & Medicaid Services (CMS) April 18 issued its hospital inpatient prospective payment system (PPS) and long-term care hospital (LTCH) PPS proposed rule for fiscal year (FY) 2023.
We are extremely concerned with CMS’ proposed payment update of only 3.2%, given the extraordinary inflationary environment and continued labor and supply cost pressures hospitals and health systems face.
CMS today issued a proposed rule that would increase Medicare inpatient prospective payment system rates by a net 3.2% in fiscal year 2023, compared with FY 2022, for hospitals that are meaningful users of electronic health records and submit quality measure data.
The AHA expresses support for the Hospital Inpatient Services Modernization Act, bipartisan legislation that would extend the Centers for Medicare & Medicaid Services’ acute hospital care at home waiver program two years beyond the end of the COVID-19 public health emergency.
Commenting on the Centers for Medicare & Medicaid Services’ hospital inpatient prospective payment system final rule for fiscal year 2022, the AHA expresses concern that the rule prioritizes Health Professional Shortage Areas and training time in HPSAs when distributing new graduate medical…
At Issue
The Centers for Medicare & Medicaid Services (CMS) Aug. 2 issued its hospital inpatient prospective payment system (PPS) and long-term care hospital (LTCH) PPS final rule for fiscal year (FY) 2022.
The Centers for Medicare & Medicaid Services (CMS) Aug. 2 issued its hospital inpatient prospective payment system (PPS) and long-term care hospital (LTCH) PPS final rule for fiscal year (FY) 2022.
CMS Issues Hospital Outpatient/ASC Proposed Rule, Including Modifications to Price Transparency Rule
Download the AHA Special Bulletin:
CMS Issues Hospital Outpatient/ASC Proposed Rule,
Including Modifications to Price Transparency Rule
AHA today voiced strong support for provisions in the inpatient prospective payment system proposed rule for fiscal year 2022 that would repeal the requirement that hospitals report their median payer-specific charges for Medicare Advantage organizations by Medicare severity diagnosis related group…