CHA DataSuite Releases IPPS FFY 2021 Proposed Rule Impact Analysis

For CFOs

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CHA DataSuite has released hospital-specific analysis of the federal fiscal year (FFY) 2021 Medicare Inpatient Prospective Payment System (IPPS) proposed rule. The analysis is intended to show how Medicare inpatient fee-for-service (FFS) payments would change from FFY 2020 to FFY 2021 based on the policies set forth in the FFY 2021 IPPS proposed rule.  

The analysis compares the year-over-year change in operating, capital, and uncompensated care IPPS payments and includes breakout sections that provide detailed insight into the specific policies that influence IPPS payment changes, including: 

  • Potential payment penalties under the Inpatient Quality Reporting and Electronic Health Record (EHR) Incentive Programs 
  • Impact of the Centers for Medicare & Medicaid Services’ adjustment to the wage index of hospitals in the bottom quartile of wage index values nationally to reduce wage disparities 
  • The proposed Core-Based Statistical Area changes updated by the Office of Management and Budget Bulletin No. 18-04 
  • Quality-based payment adjustments 
  • Disproportionate share hospital uncompensated care payments 

This analysis does not include estimates for outlier payments, payments for services provided to Medicare Advantage (MA) patients (including indirect medical education payments for MA patients), EHR incentive payments, or modifications in FFS payments as a result of hospital participation in new payment models being tested under Medicare demonstration/pilot programs.  

For more information, see the analysis description.