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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

Part 1: Navigating your impact report
Part 2: Understanding changes to uncompensated care payments
Part 3: Understanding changes to quality pay-for-performance programs

For more information about this report, contact Matthew Baker at



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