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.

AHA called on Congress to urge CMS to make two critical changes to the hospital inpatient prospective payment system proposed rule for FY 2023.
June 17, 2022 The Honorable Chiquita Brooks-LaSure Administrator Centers for Medicare & Medicaid Services Hubert H. Humphrey Building 200 Independence Avenue, S.W. Room 445-G Washington, DC 20201
The Centers for Medicare and Medicaid Services (CMS) April 18 issued its inpatient prospective payment system (PPS) and long-term care hospital (LTCH) proposed rule for fiscal year (FY) 2023. The rule affects inpatient PPS hospitals, critical access hospitals (CAHs), LTCHs and PPS-exempt cancer…
On May 25, 2022 from 1:00-2:00 p.m. ET, AHA hosted a webinar to review key provisions in the Centers for Medicare & Medicaid Services’ fiscal year 2023 proposed rule for the inpatient prospective payment system (IPPS).
AHA letter to the Centers for Medicare & Medicaid Services regarding the FY 2023 IRF prospective payment system (PPS) proposed rule.
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.
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.