IPPS rate impact analysis
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The Centers for Medicare and Medicaid Services (CMS) has issued the fiscal year 2026 Medicare Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital proposal rule, which affects inpatient discharges from Oct. 1, 2025, through Sept. 30, 2026.
This rule impacts key areas of reimbursement, including:
- Operating payments
- MS-DRG weights
- Wage index
- Medicare disproportionate share (DSH)
- Medical education
- Quality programs and the data you must report
You can find more information about the FY 2026 Hospital Inpatient Prospective Payment System proposed rule here.
Our reimbursement team is currently analyzing the various changes within the proposed rule and compiling hospital-specific computations based on the proposed rule. We offer a complimentary hospital-specific analysis for any interested providers seeking to stay ahead of the curve. Simply input your provider numbers in the adjacent form, and we’ll send you back a reimbursement forecast.
If you have any questions related to the IPPS proposed rule or our analysis, please contact either of our industry experts below.