Prospective Payment Systems (PPS)

The Medicare Payment Advisory Commission recommended that Congress provide a current law update for the hospital inpatient and outpatient prospective payment systems in fiscal year 2023, currently estimated at 2.5% for inpatient and 2.0% for outpatient.
The Centers for Medicare & Medicaid Services released its calendar year 2022 final rule for the home health prospective payment system.
Commenting on the Centers for Medicare & Medicaid Services’ hospital outpatient prospective payment system and ambulatory surgical center payment system proposed rule for calendar year 2022, AHA continued to urge the agency to restore full OPPS payment for hospital outpatient clinic visits to…
In a new blog, Kurt Hoppe, M.D., faculty member of the Mayo Clinic and member of the AHA’s Post-acute Steering Committee, explains the importance of post-acute care providers in the nation’s COVID-19 response and recovery, as well as the newest updates to the post-acute care payment model plan — of…
Commenting on the Centers for Medicare & Medicaid Services’ home health prospective payment system proposed rule for calendar year 2022, AHA expressed support for CMS’ decision to forego action in CY 2022 on a behavioral adjustment to the Patient Driven Grouping Model case-mix system, while…
This Regulatory Advisory summarizes the Centers for Medicare & Medicaid Services’ fiscal year 2022 final rules and policy changes for the inpatient rehabilitation facility (IRF) prospective payment system.
This Regulatory Advisory summarizes the Centers for Medicare & Medicaid Services’ fiscal year 2022 final rules and policy changes for the long-term care hospital (LTCH) prospective payment system.
This Regulatory Advisory summarizes the Centers for Medicare & Medicaid Services’ fiscal year 2022 final rules and policy changes for the skilled nursing facility (SNF) prospective payment system.
The AHA issued a Regulatory Advisory with a summary of the July 29 Centers for Medicare & Medicaid Services’ final rule for the inpatient psychiatric facility prospective payment system for fiscal year 2022.
The Centers for Medicare & Medicaid Services June 29 issued its calendar year 2022 proposed rule for the home health prospective payment system.