Medicare makes payments to hospitals for inpatient and outpatient hospital services under the Medicare Inpatient Prospective Payment System (IPPS) and Medicare Outpatient Prospective Payment System (OPPS), respectively. The Centers for Medicare & Medicaid Services (CMS) annually publishes IPPS and OPPS proposed regulations that address payment updates and other issues in each payment system, including Medicare’s portfolio of quality reporting and performance programs impacting payment and public reporting.
The CMS releases the IPPS proposed rule between late April and early May and publishes the IPPS final rule in early August; these changes generally become effective on Oct. 1. The CMS issues the OPPS proposed rule between late July and early August and publishes the OPPS final rule in early November; these changes generally become effective on Jan. 1 of the next calendar year (CY).
Learn about the latest IPPS and OPPS proposed regulations using the resources below.
Medicare Inpatient Payment and Quality Reporting
Video
- Fiscal Year (FY) 2022 IPPS Final Rule Webinar (2023)
- Fiscal Year (FY) 2022 IPPS Final Rule Webinar (2022)
- Fiscal Year (FY) 2022 IPPS Final Rule Webinar (2021)
Comment Letters (PDF)
-
AAMC Comment Letter to CMS on FY 2024 IPPS Proposed Rule (2023)
-
AAMC Comment Letter to CMS on FY 2023 IPPS Proposed Rule (2022)
Medicare Outpatient Payment and Quality Reporting
Video
- CY 2024 OPPS Final Rule (2023)
- CY 2024 OPPS Final Rule (2022)
Comment Letters (PDF)
- AAMC Comment Letter to CMS on CY 2024 OPPS Proposed Rule (2023)
- AAMC Comment Letter to CMS on CY 2023 OPPS Proposed Rule (2022)
AAMC Regulatory Resources
- CMS “Birthing Friendly” Hospital Designation (2023)
- AAMC Quality Measures Spreadsheet (Updated: January 2024)
- CMS Health Equity Quality Measures (2023)