FY 2021 Inpatient and LTCH Proposed Payment Rules

The Centers for Medicare & Medicaid Services yesterday released its proposed rule for the hospital inpatient and long-term care hospital prospective payment systems for fiscal year 2021. CMS's hospital inpatient PPS proposed rule would increase Medicare inpatient PPS rates by a net 3.1% in FY 2021, compared to FY 2020. Additionally, the rule would require disclosure of certain payer-negotiated rates and makes changes to Disproportionate Share Hospital payments, CAR T therapy payment and quality incentive programs. Under the proposed rule for the LTCH PPS, payments would decrease in FY 2021 by 0.9%, or $36 million, compared to FY 2020. American Hospital Association members can access AmHA's Special Bulletins on inpatient PPS and LTCH PPS for summaries and key takeaways from the rule.