JEFFERSON CITY, Mo.,
04
August
2025
|
20:23 PM
Europe/Amsterdam

CMS Issues FY 2026 Final Medicare Hospice, IRF And IPF PPS Payment And Policy Updates

Staff Contact: Andrew Wheeler

CMS released federal fiscal year 2026 Medicare hospice, inpatient rehabilitation and inpatient psychiatric PPS proposed payment and policy updates. Highlights of the rules include the following.

IRF PPS

  • Rate increase of 3.3%; 2.6% after accounting for a 0.7% productivity adjustment
  • IRF quality reporting program updates
  • Updates to the outlier threshold to maintain outlier payments at 3.0% of the total
  • Annual updates to prospective payment rates, wage index, case-mix group relative weights and average length of stay values

IPF PPS

  • Rate increase of 3.2%; 2.5% after accounting for a 0.7% productivity adjustment
  • Updates to the outlier threshold to maintain outlier payments at 2.0% of the total
  •  IPF quality reporting program updates

Hospice

  • Rate increase of 3.3%; 2.6% after accounting for a 0.7% productivity adjustment
  • Hospice quality reporting program updates

MHA published issue briefs for each of the final rules.

About Missouri Hospital Association

The Missouri Hospital Association is a nonprofit association in Jefferson City that represents 136 Missouri hospitals. In addition to representation and advocacy on behalf of its membership, the association offers continuing education programs on current health care topics and seeks to educate the public about health care issues.