Updates to Medicare Inpatient Prospective Payment System
CMS Releases Proposed FY 2026 Updates to Medicare Inpatient Prospective Payment System
On April 11th, the Centers for Medicare & Medicaid Services (CMS) posted proposed updates to the Medicare hospital Inpatient Prospective Payment System for fiscal year 2026.
Of interest
For FY 2026, CMS is proposing changes to the following policies important to hospitals:
Our partners at McDermott+, one of healthcare’s most trusted and respected policy and lobbying consulting firms, wrote a summary of the proposed rule that provides valuable information about the potential changes. McDermott+ also created a dashboard that shows the actual costs to hospitals for providing care to Medicare fee-for-service inpatients if these proposals were finalized.
Comments on the proposed rule are due June 10, 2025.
Why you should care
The provisions included in this proposal will, if finalized, impact hospital payment and quality reporting program requirements. Hospital leaders should be informed about these potential policy changes and offer feedback to CMS on how these changes will impact your organization.