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The proposed rule would also make the Comprehensive Care for Joint Replacement (CJR) Model mandatory beginning on Oct. 1, 2027.
The proposed payment increases of 2.3% for psychiatric care and 2.4% for rehab are lower than last year's final rule increases.
This compares with last year's final rate of 3.2%.
The hospitals want DSH calculations changed back to a pre-2004 standard and payment of additional amounts, plus interest.
Providers expected worse, as CMS originally proposed a 6.4% payment cut.
Site neutral policy changes will cut spending by $290 million in 2026, CMS says.
Hospitals have four months to prepare, says former VA secretary who serves on the board of Sanford Health.
CMS is finalizing its proposal to remove four SDOH standardized patient assessment data elements to reduce burden.
Total estimated payments to IPFs are expected to increase by 2.4%, or $70 million, next year.
TEAM should not be mandatory, as it puts at risk smaller hospitals unable to support the investment needed, AHA says.
