This webinar will provide AMGA members with an understanding of the FY 2027 Inpatient Prospective Payment System (IPPS) Final Rule, including the following key topics:
~Update to IPPS operating payment rates — proposed at a net 2.4% increase (3.2% market basket update reduced by a 0.8 percentage point productivity adjustment) for hospitals meeting quality reporting and EHR requirements, to be confirmed with final figures
~Mandatory participation in the expanded Comprehensive Joint Replacement (CJR) Model for all IPPS hospitals for lower-extremity joint replacements, proposed to begin October 1, 2027
~Changes to Medicare disproportionate share hospital (DSH) and uncompensated care payments, including use of the average of the three most recent years of audited Worksheet S-10 data
~Proposed increase to the cost outlier threshold (from $40,397 to $51,704) to maintain the target share of aggregate IPPS payments made as outliers
~New and revised measures in the Hospital Inpatient Quality Reporting (IQR) Program, including a diabetes readmission measure and an advance care planning eCQM
~Updated MS-DRG relative weights based on FY 2025 MedPAR claims data
~Key differences (if any) between the proposed and final rule, once available