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Prospective Payment System

Clinician helping person in wheelchair
Nov 05 | Susan Morse
Providers have gotten a nearly 9% permanent cut to home health payment since 2023, says LeadingAge.
Clinicians talking at a boardroom table
Nov 05 | Jeff Lagasse
CMS is finalizing a new specific wage index that will be used to adjust payments for geographic differences in area wages.
Clinicians talking in a hospital
Nov 05 | Jeff Lagasse
The AHA says the final rule only worsens the problem of "sustained and substantial underpayment" of hospitals.
Aaron Rust and Chris Pizzi of Providence Health & Services in Medford, Oregon.
Oct 23 | Susan Morse
Risk-based contracts became a financial lifeline for a challenging payer mix in southern Oregon, says Chief Executive Chris…
Clinicians sitting around a board table
Sep 25 | Jeff Lagasse
Cardinal Health says the transaction is part of its effort to help community healthcare providers maintain their independence.
Clinician at computers
Aug 02 | Susan Morse
For 2025, CMS is increasing the long-term care hospital standard payment rate by 3%.
Nurse helping person out of chair
Aug 01 | Jeff Lagasse
CMS finalized the update to the IRF PPS payment rates by 3%, based on the final IRF market basket update of 3.5%.
Nurses and clinicians talking in a hallway
Aug 01 | Jeff Lagasse
There will be a net increase of 4.2%, or approximately $1.4 billion, in Medicare Part A payments to SNFs next year.
Doctor using a tongue depressor on young patient
Jul 10 | Susan Morse
The proposed rule updates rates for intensive outpatient services at hospital outpatient departments and…
A woman undergoing dialysis
Jun 28 | Susan Morse
The rule also proposes to extend Medicare payment to dialysis in the home setting for beneficiaries with acute kidney injury.

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