IPPS /LTCH Final Rule – Increasing Operating Payment Rates by 3.1%

Hospitals contend that the 3.1 percent increase in payments linked to quality reporting is insufficient to address the rising inflationary pressures. The Centers for Medicare & Medicaid Services (CMS) has officially published the final rule for the Hospital Inpatient Prospective Payment System (IPPS) and Long-term Care Hospital Prospective Payment System (LTCH PPS) in the Federal Register on August 28.


Effective from October 1 for fiscal year (FY) 2024, there will be a 3.1 percent rise in operating payment rates for general acute hospitals falling under IPPS. This marks a 0.3 percent increase over the agency’s initially proposed 2.8 percent increase in April. The 3.1 percent hike applies to general acute hospitals that actively participate in the Hospital Inpatient Quality Reporting (IQR) Program and demonstrate meaningful use of electronic health records (EHRs).


According to the CMS’ FY 2024 IPPS and LTCH PPS final rule Newsroom Fact Sheet, hospitals will experience various payment adjustments under IPPS, including:

  1. Payment reductions for excessive readmissions through the Hospital Readmissions Reduction Program (HRRP).

  2. A 1 percent payment reduction for hospitals in the worst-performing quartile under the Hospital Acquired Condition (HAC) Reduction Program.

  3. Adjustments, both positive and negative, under the Hospital Value-Based Purchasing (VBP) Program.

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