Medicare Hospital Payment Proposal Gets a Technical Typo Fix
Published Date: 6/5/2025
Proposed Rule
Summary
This document fixes some typos and technical mistakes in the Medicare payment rules for hospitals that were first shared in April 2025. It affects hospitals getting Medicare payments for inpatient care and updates the rules for quality programs and payment rates for fiscal year 2026. These corrections make sure everything is clear and accurate before final decisions are made.
Analyzed Economic Effects
4 provisions identified: 4 benefits, 0 costs, 0 mixed.
Updated Medicare DSH Payment Estimates
CMS corrected its estimated Medicare Disproportionate Share Hospital (DSH) payments. The corrected estimates are: FY 2023 = $14.136 billion, FY 2024 = $14.946 billion, FY 2025 = $15.286 billion, and FY 2026 = $15.791 billion.
Corrected Uncompensated Care Payment Amount
CMS corrected the figure for a proposed uncompensated care payment to read $7,190,037,075 (previously shown as $7,140,406,650). This number represents the total amount shown in the proposed rule's calculation of uncompensated care payments.
Revised Burden Estimate for SDOH-1 Measure Removal
CMS corrected the estimate for removing the SDOH-1 measure to say its removal would alleviate an annual burden for hospitals and patients of 626,009 hours, at a cost of $16,059,753, across all participating IPPS hospitals. This is a change to the burden and cost figures reported in the proposed rule.
Revised Burden Estimate for SDOH-2 Measure Removal
CMS corrected the estimate for removing the SDOH-2 measure to say its removal would alleviate an estimated annual burden of 509 hours, at a cost of $28,188, across all participating IPPS hospitals. This replaces the previously published burden and cost numbers.
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Key Dates
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