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Hospital-Specific Impact Reports for Medicare's IPPS Rules - Proposed and Final

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This report, generated uniquely for each COTH member institution, estimates hospital-specific Medicare inpatient revenue paid under the Inpatient Prospective Payment System (IPPS) for the upcoming fiscal year to reflect rate updates and policy changes proposed and/or finalized during the annual regulatory process.

The hospital-specific reports are prepared for each COTH member twice annually: first in late May following the release of the IPPS proposed rule, and again in August after publication of the final rule.

COTH members can use this report to:

  • Estimate budget impacts for the upcoming fiscal year
  • Track add-on payments, quality pay-for-performance programs, and other payment factors
  • Validate and match your hospital’s own impacts estimates
  • Input data to model overall reimbursement and per-case rates

Video Tutorial for the IPPS Impact Report

2019 IPPS Final Rule Impact Report

2019 IPPS Final Rule Impact Report II

2019 IPPS Final Rule Impact Report III

For more information about this report, contact Matthew Baker at

Proposed and Final Rule Webinars

2019 IPPS Final Rule Impact Report

FY 2019 IPPS Proposed Rule Webinar

IPPS Final Rule 2018



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