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 AHA issued a Regulatory Advisory with a summary of the July 31 Centers for Medicare & Medicaid Services’ final rule for the inpatient psychiatric facility prospective payment system for fiscal year 2021.
The Centers for Medicare & Medicaid Services (CMS) July 31 published a final rule for the inpatient psychiatric facility (IPF) prospective payment system (PPS) for fiscal year (FY) 2021. The rule will be published in the Federal Register Aug. 4.
The AHA submitted comments on the Centers for Medicare & Medicaid Services’ hospital inpatient prospective payment system proposed rule for fiscal year 2021.
AHA comments on the Centers for Medicare & Medicaid Services’ hospital inpatient prospective payment system proposed policy changes and fiscal year 2021 rates.
This webinar reviews key provisions proposed in the FY 2021 Inpatient PPS proposed rule, presented by AHA policy staff members Erika Rogan, Ari Levin, Nelly Leon-Chisen, Samantha Burch and Akin Demehin. Topics include proposals related to Medicare disproportionate share hospitals, Medicare-severity…
Download the Inpatient PPS: The Proposed Rule for FY 2021 Regulatory Advisory  
The Centers for Medicare & Medicaid Services (CMS) May 11 issued its hospital inpatient prospective payment system (PPS) and long-term care hospital (LTCH) PPS proposed rule for fiscal year (FY) 2021. In addition to proposing a 3.1% increase in inpatient PPS payments for 2021, the rule would…
The Medicare Payment Advisory Commission (MedPAC, or the Commission) will vote this month on payment recommendations for 2021. The ºÚÁÏÕýÄÜÁ¿ Association (AHA) asks that commissioners consider the following issues that would have a significant impact on hospitals, health systems, other…
The Centers for Medicare & Medicaid Services Aug. 2 issued its hospital inpatient prospective payment system and long-term care hospital PPS final rule for fiscal year 2020.
The Centers for Medicare & Medicaid Services Aug. 2 issued its hospital inpatient prospective payment system (PPS) and long-term care hospital PPS final rule for fiscal year (FY) 2020.