Medicare’s payment architecture touches every corner of the healthcare system, yet the policies that drive billions in federal spending often operate below the surface. With fee-for-service pressures rising and value-based models expanding, MedPAC’s updated payment basics series released last month, is an essential primer.
The...CMS Rules
Late last week, the Centers for Medicare and Medicaid Services (CMS) issued the final rule for the Medicare inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS), and the final rule for skilled nursing facilities (SNF) for fiscal year (FY) 2026.
CMS pays hospitals for inpatient...National News
CMS estimates the impact of the proposed payment policies would be a loss of about $320 million in Medicare Part A payments to skilled nursing facilities (SNFs) in FY 2023 compared to FY 2022.
On July 5, letters signed by 22 U.S. senators led by Senator Jon Tester (D-MT), and another signed by 18 U.S. representatives led by...
