1. Total estimated payments to inpatient psychiatric facilities are estimated to increase by 1.9 percent, or $55 million, in fiscal 2024 relative to IPF payments in fiscal 2023.
2. For fiscal 2024, CMS is proposing to update the IPF prospective payment system rates by 3 percent, based on the proposed 2021-based IPF market basket increase of 3.2 percent, minus a proposed 0.2 percentage point productivity adjustment.
3. CMS is proposing to update the outlier threshold so that estimated outlier payments remain at 2 percent of total payments, which is estimated to result in a 1 percent decrease to aggregate payments due.
4. CMS last rebased and revised the IPF market basket in the 2020 rule, which adopted a 2016-based IPF market basket. CMS is proposing a 2021-based IPF market basket and includes proposed changes to the market basket cost weights, price proxies, market basket update, and labor-related share.
5. The new proposed labor-related share is 78.5 percent, a 1.1 percentage point increase from 2023.
6. CMS is proposing to allow hospitals to open a new IPF unit at any time during the cost reporting period, beginning in FY 2024. This proposal would allow a hospital unit to start being paid under the IPF PPS, as long as 30-day advance notice is provided to the CMS Regional Office and Medicare Administrative Contractor.
At the Becker's Fall Behavioral Health Summit, taking place November 4–5 in Chicago, behavioral health leaders and executives will explore strategies for expanding access to care, integrating services, addressing workforce challenges and leveraging innovation to improve outcomes across the behavioral health continuum. Apply for complimentary registration now.
