Prospective Payment Systems (PPS)

The AHA released a detailed summary of CMS' final rule for the calendar year 2023 home health prospective payment system.
Commenting today on the Centers for Medicare & Medicaid Services’ proposed calendar year 2023 payment rule for hospital outpatients and ambulatory surgical centers, AHA said it supports the agency’s decision to end its unlawful cuts to 340B hospitals and urged the agency to promptly restore…
The Centers for Medicare & Medicaid Services today issued its final rule for fiscal year 2023 for the skilled nursing facility prospective payment system.
The Centers for Medicare & Medicaid Services today issued a final rule for the inpatient rehabilitation facility prospective payment system for fiscal year 2023 with an estimated net increase of 3.2% ($275 million).
The CMS and ASPE draft unified payment model for the four post-acute care (PAC) settings contains numerous fundamental flaws which render it unworkable for both patients and providers.
The American Hospital Association (AHA) urges Congress to call on the Centers for Medicare & Medicaid Services (CMS) to make changes to the hospital inpatient prospective payment system (IPPS) proposed rule for fiscal year (FY) 2023 in order to ensure that Medicare payments for acute care…
The Medicare Payment Advisory Commission recommended that Congress provide a current law update for the hospital inpatient and outpatient prospective payment systems in fiscal year 2023, currently estimated at 2.5% for inpatient and 2.0% for outpatient.
The Centers for Medicare & Medicaid Services released its calendar year 2022 final rule for the home health prospective payment system.
Commenting on the Centers for Medicare & Medicaid Services’ hospital outpatient prospective payment system and ambulatory surgical center payment system proposed rule for calendar year 2022, AHA continued to urge the agency to restore full OPPS payment for hospital outpatient clinic visits to…
In a new blog, Kurt Hoppe, M.D., faculty member of the Mayo Clinic and member of the AHA’s Post-acute Steering Committee, explains the importance of post-acute care providers in the nation’s COVID-19 response and recovery, as well as the newest updates to the post-acute care payment model plan — of…