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Inpatient Prospective Payment System (IPPS)
Find out what Medicare's Inpatient Prospective Payment System IPPS in healthcare is. 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. What is Inpatient PPS?
CMS proposes 4.1% payment update for SNFs and revise nursing home enforcement authority in FY 2025
The Centers for Medicare & Medicaid Services March 28 issued a proposed rule for fiscal year 2025 for the skilled nursing facility prospective payment system, which would increase aggregate Medicare spending by 4.1% or $1.3 billion compared with FY 2024.
Inpatient psychiatric facilities rule would increase payments 2.6%, clarify all-inclusive cost reporting
The Centers for Medicare & Medicaid Services today issued a proposed rule for the inpatient psychiatric facility prospective payment system for fiscal year 2025.
CMS Releases FY 2025 Inpatient Rehabilitation Facility PPS Proposed Rule
The CMS March 27 issued its proposed rule for the inpatient rehabilitation facility prospective payment system for fiscal year (FY) 2025.
Accountable Care Organizations: Findings from the Survey of Care Systems and Payment
AHA conducted a survey of 309 ACOs in 2013 which covered such topics as structure and governance, contracts and risk models, key challenges, performance management and information exchange.
Equity of Care Awards Case Study: Monument Health Rapid City Hospital
Monument Health Rapid City Hospital’s excellence in using quantitative and qualitative data to address disparities and improve patient health quality resulted in the organization winning AHA’s 2023 Carolyn Boone Lewis Equity of Care Award in the Small/Rural Hospital Excellence category.
CY 2019 OPPS/ASC Proposed Rule Member Webinar
The August 14, 2018, meeting of the CY 2019 OPPS/ASC Proposed Rule Member Webinar.
CMS proposes 2.8% payment update for IRFs
The Centers for Medicare & Medicaid Services March 27 released the fiscal year 2025 proposed rule for inpatient rehabilitation facilities, which would update IRF payments by an estimated 2.8% overall (or $280 million) in FY 2025.
AHA Responds to Senate RFI on the SUSTAIN 340B Act Draft
AHA welcomes the opportunity to provide feedback on the Supporting Underserved and Strengthening Transparency, Accountability, and Integrity Now and for the Future of (SUSTAIN) 340B Act bipartisan discussion draft and accompanying request for information on the critically important 340B Drug Pricing Program.
Rural Health Voices #99: Rural Hospitals Past, Present and Future
John Supplitt, Senior Director of Field Engagement at the American Hospital Association joined RHV to discuss concerns and possibilities for our rural facilities.