Final IPPS rate update
2.3% — a 3.2% market basket less a 0.9 percentage-point productivity adjustment, 0.1 point below the proposed rule.
Aggregate payments vs individual hospital impact
Aggregate IPPS payments rose to an estimated increase of approximately $2.1B even as the headline rate fell. The national total is not a hospital forecast.
LTCH PPS
A 2.3% standard-rate update with an estimated increase of approximately $54M; results vary with case mix, wage index, outliers and site-neutral cases.
MDH / low-volume expiration exposure
These payments expire December 31, 2026 under current law; approximately $0.3B if extended. A hospital-specific rural revenue cliff.
New technology add-on payments
An estimated increase of approximately $779M, about $315M above the proposal — but revenue depends on qualifying technology use, coding and documentation.
CJR-X timing and episode exposure
Begins January 1, 2028 with 90-day episodes, two-sided risk from year one, a 2% discount, and exclusion below 31 episodes.
MA data in quality measures
Finalized across specified IQR and VBP measures on staged timelines — a change in measured populations, not claim-level denial risk.
Sepsis readmissions timeline
Confidential early looks in FY 2028-2029; payment calculations begin FY 2030. No immediate FY 2027 penalty.
Electronic prior authorization
Optional bonus measure in CY 2027, mandatory in CY 2028 — implementation cost and workflow risk rather than an automatic gain.