Prospective Payment System

Upcoming Webinar to Detail IPPS Proposed Rule’s Impact

What’s happening: On May 21, CHA will host a members-only webinar to discuss the Centers for Medicare & Medicaid Services’ (CMS’) federal fiscal year (FFY) 2026 inpatient prospective payment system (IPPS) proposed rule, which includes a net 2.4% payment rate increase — far below what hospitals need to keep up with rising costs and health care needs.    

FFY 2026 IPPS Proposed Rule Webinar

As required annually by law, the Centers for Medicare & Medicaid Services (CMS) has issued its federal fiscal year (FFY) 2026 inpatient prospective payment system (IPPS) proposed rule.     CMS proposes to increase payment rates for most hospitals paid under the IPPS by 2.4% in FFY 2026. The net impact of the proposed rule will increase payments […]

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.   

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.