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’ proposed inpatient hospital payment update of 2.6% is woefully inadequate, especially following years of high inflation and rising costs for labor, drugs, and equipment. Many hospitals across the country, especially those in rural and underserved communities, continue to operate under…
The Centers for Medicare & Medicaid Services today issued a proposed rule for the inpatient psychiatric facility prospective payment system for fiscal year 2025.
AHA shares comments and ask that commissioners consider the following issues before making their final payment update recommendations at the upcoming Medicare Payment Advisory Commission (MedPAC) meeting.
The Centers for Medicare & Medicaid Services Nov. 15 allocated 200 new Medicare-funded residency slots to 100 teaching hospitals in health professional shortage areas with the greatest need, as defined in the inpatient prospective payment system final rule for fiscal year 2022.
October 27, 2023 Michael Chernew, Ph.D. Chairman Medicare Payment Advisory Commission 425 I Street, NW, Suite 701 Washington, DC 20001 Dear Dr. Chernew:
AHA comments on the CMS' hospital outpatient prospective payment system and ambulatory surgical center payment system proposed rule for calendar year (CY) 2024.
he Centers for Medicare & Medicaid Services (CMS) August 1 issued its hospital inpatient prospective payment system (PPS) and long-term care hospital (LTCH) PPS final rule for fiscal year (FY) 2024.
AHA remains deeply concerned over the Centers for Medicare & Medicaid Services’ (CMS’) policies related to disproportionate share hospital payments in the agency’s final Inpatient Prospective Payment System rule for fiscal year (FY) 2024.
The Centers for Medicare & Medicaid Services (CMS) August 1 issued its hospital inpatient prospective payment system (PPS) and long-term care hospital (LTCH) PPS final rule for fiscal year (FY) 2024.
The Centers for Medicare & Medicaid Services Aug. 1 issued the final rule that would increase Medicare inpatient prospective payment system rates by a net 3.1% in fiscal year 2024, compared with FY 2023, for hospitals that are meaningful users of electronic health records and submit quality…