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Advocacy Issue: Site-Neutral Payment Proposals
Hospitals and their associated facilities provide access to critical services that are not otherwise always available in the community and they treat patients with very severe conditions. Payment proposals that attempt to treat hospital outpatient departments the same as independent physician offices and other ambulatory sites of care ignore the very different level of care provided by hospitals and the needs of the patients and communities cared for in that setting.
Home Health PPS
The Centers for Medicare & Medicaid Services (CMS) Nov. 1 issued its calendar year (CY) 2025 final rule for the home health (HH) prospective payment system (PPS).
Skilled Nursing Facility PPS
The Centers for Medicare & Medicaid Services (CMS) July 31 issued its fiscal year (FY) 2024 final rule for the skilled nursing facility (SNF) prospective payment system (PPS).
Inpatient Rehabilitation PPS
The Centers for Medicare & Medicaid Services (CMS) July 31 issued its fiscal year (FY) 2025 final rule for the inpatient rehabilitation facility (IRF) prospective payment system (PPS).
Long-Term Care Hospital PPS
The Centers for Medicare & Medicaid Services (CMS) Aug. 1 issued a final rule for the inpatient and long-term care hospital (LTCH) prospective payment systems (PPSs) for fiscal year (FY) 2025.
Rehabilitation Services
Rehabilitation services are measures taken to promote optimum attainable levels of physical, cognitive, emotional, psychological, social, and economic usefulness, and thereafter to maintain the individual at the maximal functional level.
Advocacy Issue: Hospital Inpatient (IPPS) Payment
America’s hospitals and health systems continue to face unprecedented financial pressures due to the ongoing effects of the COVID-19 pandemic and current inflationary economy. Historic inflation has extended and heightened the already severe economic instability brought on by the pandemic resulting in razor thin operating margins from massive surges in input costs, including a struggling workforce, drug costs, supplies and equipment.
Advocacy Issue: Long-Term Care Hospital Payment
Long-term care hospitals, or LTCHs, and the other three post-acute care settings have been central to our recovery from COVID-19. The pandemic has particularly highlighted the distinct clinical competencies of LTCHs.
Inpatient Rehabilitation Facility PPS
This web page provides information and resources related to inpatient rehabilitation hospitals and units, with a focus on Medicare payment and related implementation issues.