Summary of FFY 2025 IPPS Final Rule Includes Details on New Accountability Model
What’s happening: CHA has issued a detailed summary of the federal fiscal year (FFY) 2025 inpatient prospective payment system final rule.
What else to know: The summary includes information on the new Transforming Episode Accountability Model (TEAM) that will be mandatory for more than 130 California hospitals across 10 geographic areas.
Mental Health Parity Rules Finalized
What’s happening: The departments of the Treasury, Labor, and Health and Human Services have finalized rules to improve access to mental health services by requiring health plans to make changes when inadequate access is provided.
What else to know: The final rule reinforces the Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA), which requires health plans to ensure that access to mental health or substance use disorder care is not more restrictive than access to medical and surgical benefits.
CHA Issues Comments on CY 2025 OPPS Proposed Rule
What’s happening: CHA has submitted comments on the calendar year 2025 outpatient prospective payment system proposed rule.
What else to know: Comments were due to the Centers for Medicare & Medicaid Services (CMS) on Sept. 9.
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.
CDPH Title 22 Draft Regulations Out for Public Comment
What’s happening: The comment period is now open for draft regulations released by the California Department of Public Health (CDPH) on clinical laboratory, pharmaceutical, and dietetic services in general acute care hospitals.
What else to know: Comments are due to CDPH on Sept. 12.
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.
Register for Upcoming DataGen Webinar on FFY 2025 IPPS Final Rule
What’s happening: DataGen will host a webinar on the federal fiscal year 2025 inpatient prospective payment system final rule and analysis overview.
What else to know: Registration is required.
CMS Finalizes Inadequate Inpatient Payment Update
What’s happening: The Centers for Medicare & Medicaid Services’ (CMS) finalized fiscal year (FY) 2025 inpatient prospective payment system (IPPS) rule falls short of what hospitals need to keep up with rising costs and health care needs.
What else to know: The rule includes a net market basket update of 2.9%. As a result of all changes, CMS estimates that hospital inpatient payments will increase by $2.9 billion in FY 2025.