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 (CMS) April 18 issued a proposed rule for the inpatient psychiatric facility (IPF) prospective payment system (PPS) for fiscal year (FY) 2020. CMS will accept comments on this rule through June 17. Key Takaways: The proposed changes would:…
The Centers for Medicare & Medicaid Services April 23 issued its hospital inpatient prospective payment system (PPS) and long-term care hospital PPS proposed rule for fiscal year (FY) 2020.
The Centers for Medicare & Medicaid Services late today issued a proposed rule that would increase Medicare inpatient prospective payment system rates by a net 3.2 percent in FY 2020, compared to FY 2019, for hospitals that are meaningful users of electronic health records and submit quality…
The Centers for Medicare & Medicaid Services yesterday released frequently asked questions on new requirements for hospitals to publicly post their charges in a machine-readable format on an annual basis
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) 2019. The rule affects inpatient PPS hospitals, critical access hospitals (CAHs), LTCHs and PPS-exempt…
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.
AHA provides input to CMS on how to better assist patients in accessing pricing information for health care services.