Prospective Payment System

CHA Comments on CY 2025 Home Health Payment Rule

What’s happening: CHA submitted comments to the Centers for Medicare & Medicaid Services (CMS) in response to the calendar year 2025 home health prospective payment system proposed rule.  

What else to know: CHA thanks members for their feedback, which helped to inform comments. 

CHA Issues Summary of FFY 2025 LTCH PPS Final Rule

What’s happening: CHA has issued a summary of the finalized payment updates and policies for long-term care hospitals (LTCHs) for federal fiscal year (FFY) 2025.  

What else to know: The policy and payment provisions are generally effective for FFY 2025 discharges, beginning Oct. 1.   

Summary: FFY 2025 Inpatient Psychiatric Facility PPS Final Rule

What’s happening: The Centers for Medicare & Medicaid Services (CMS) issued its federal fiscal year (FFY) 2025 inpatient psychiatric facility (IPF) prospective payment system (PPS) final rule.  

What else to know: Finalized payment rates are slightly higher than proposed, but still insufficient relative to input cost inflation.     

Summaries Available: FFY 2025 Post-Acute Care Payment Final Rules

What’s happening: The Centers for Medicare & Medicaid Services (CMS) issued its final payment rules for inpatient rehabilitation facilities (IRFs), skilled-nursing facilities (SNFs), and hospices for federal fiscal year (FFY) 2025. CHA has issued members-only summaries of each rule.   

What else to know: In general, the payment updates were slightly higher than proposed, but still inadequate relative to input price inflation.  

TEAM Bundled Payment Final Rule Webinar – Participant Information

Over 100 California hospitals were selected to participate in the finalized Transforming Episode Accountability Model (TEAM). Additionally, current participants in other Medicare bundled payment models can opt into TEAM which begins in January of 2026.  The 30-day bundled payment model will hold selected hospitals accountable for the cost and quality of certain high-volume surgical procedures […]

CMS Releases Post-Acute Care, Psych Payment Final Rules

What’s happening: The Centers for Medicare & Medicaid Services (CMS) issued the federal fiscal year (FFY) 2025 inpatient rehabilitation facility (IRF) prospective payment system (PPS), skilled-nursing facility (SNF) PPS, inpatient psychiatric facility (IPF) PPS, and hospice wage index final rules. 

What else to know: The policy and payment provisions in the final rules will be effective for FFY 2025 discharges, beginning Oct. 1.