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CMS Releases FY 2026 Long-term Care Hospital PPS Proposed Rule
The Centers for Medicare & Medicaid Services (CMS) April 11 issued a proposed rule for the inpatient and long-term care hospital (LTCH) prospective payment systems (PPS) for fiscal year (FY) 2026.
AHA Supports House Securing Access to Care for Seniors in Critical Condition Act
April 15, 2025The Honorable Kevin HernU.S. House of Representatives171 Cannon House Office BuildingWashington, DC 20515
Ensuring LTCHs Can Care for the Nation’s Sickest Patients and Serve Their Communities
The federal agency that oversees the Medicare program (CMS) recently announced a change in the long-term care hospital (LTCH) high-cost outlier payment policy. As a result, LTCHs are being asked to incur greater and greater losses as they care for severely ill patients.
Fact Sheet: Viable Unified Post-acute Care Payment Model Not Possible Under Current Approach
The unified post-acute care (PAC) payment system required by the Improving Medicare Post-Acute Care
Transformation (IMPACT) Act of 2014 is not on track to protect access to medically necessary PAC services.
Fact Sheet: Long-term Care Hospitals
Long-term care hospitals (LTCHs) serve a critical role within the Medicare program by treating the sickest patients who need extended hospital stays. This important role is under threat as the LTCH field implements the Bipartisan Budget Act of 2013 requirement for “site-neutral” payments for cases with lower acuity. Analyses by the Medicare Payment Advisory Commission (MedPAC) and the AHA highlight the transformative nature of the site-neutral payment policy, which has led to the underpayment of 36 percent of LTCH cases, a more than $1 billion reduction in payments to LTCHs and LTCH closures.