Members-Only Summaries Detail Post-Acute Care, Psychiatric Facility Payment Provisions for FFY 2026
What’s happening: Summaries of the inpatient rehabilitation facility (IRF) prospective payment system (PPS), skilled-nursing facility (SNF) PPS, hospice wage index, and inpatient psychiatric facility (IPF) PPS proposed rules are now available.
What else to know: The members-only summaries, prepared for CHA by Health Policy Alternatives, Inc., describe Medicare PPS proposals for federal fiscal year (FFY) 2026.
CMS Issues FFY 2026 Inpatient Psychiatric Facility PPS Proposed Rule
What’s happening: On April 11, the Centers for Medicare & Medicaid Services (CMS) issued its federal fiscal year (FFY) 2026 inpatient psychiatric facility (IPF) prospective payment system (PPS) proposed rule.
What else to know: Comments on the proposed rule are due to CMS by June 10.
CMS Proposes Inadequate IPPS Update for FFY 2026
What’s happening: On April 11, the Centers for Medicare & Medicaid Services (CMS) released the federal fiscal year (FFY) 2026 inpatient prospective payment system (IPPS) proposed rule — which falls short of what hospitals need to keep up with rising costs and health care needs.
What else to know: As a result of all proposed changes, CMS estimates that hospital inpatient payments will increase by $4 billion in FFY 2026. Comments on the proposed rule are due June 10.
CMS Issues Post-Acute Care Payment Proposed Rules
What’s happening: On April 11, the Centers for Medicare & Medicaid Services (CMS) issued its proposed payment policies for inpatient rehabilitation facilities (IRFs), skilled-nursing facilities (SNFs), and long-term care hospitals (LTCHs) for federal fiscal year (FFY) 2026.
What else to know: Comments on the proposed rules are due to CMS by June 10.
CHA Issues Summaries of CY 2025 OPPS, Physician Fee Schedule Final Rules
What’s happening: Summaries of the calendar year (CY) 2025 outpatient prospective payment system (OPPS) and physician fee schedule final rules are available for CHA members.
What else to know: The rules are effective Jan. 1, 2025.
Register for Upcoming DataGen Webinar on CY 2025 OPPS Final Rule
What’s happening: On Dec. 5 at noon (PT), a DataGen webinar will share an overview of and the calendar year 2025 outpatient prospective payment system (OPPS) final rule and analysis. What else to know: CHA encourages members to register for this webinar.
2025 ESRD PPS Final Rule Members-Only Summary Available Now
What’s happening: A members-only summary of the Centers for Medicare & Medicaid Services’ calendar year (CY) 2025 end-stage renal disease (ESRD) prospective payment system (PPS) final rule, prepared by Health Policy Alternatives, Inc., is available.
What else to know: The regulation is effective Jan. 1, 2025.
Members-Only Summary on CMS 2025 Home Health PPS Final Rule Now Available
What’s happening: A summary of the Centers for Medicare & Medicaid Services’ calendar year (CY) 2025 home health (HH) prospective payment system (PPS) final rule, prepared by Health Policy Alternatives, Inc., is available solely to CHA members.
What else to know: The regulation is effective Jan. 1, 2025.
CMS Finalizes Medicare Payments for Home Health, Dialysis Services
What’s happening: The Centers for Medicare & Medicaid Services (CMS) issued final rules for the calendar year 2025 home health prospective payment system (PPS) and end-stage renal disease PPS.
What else to know: CMS estimates a 0.5% increase in payments for home health agencies and dialysis providers treating end-stage renal disease (ESRD) patients will see an increase of 2.7%.
CMS Finalizes Inadequate Outpatient Payment Update, Establishes New Conditions of Participation
What’s happening: The Centers for Medicare & Medicaid Services (CMS) issued its calendar year (CY) 2025 outpatient prospective payment system (OPPS) final rule, including a net market basket update of 2.9%.
What else to know: CMS also establishes new health and safety standards for obstetrical services to be phased in over two years.