Rural Health
News by Topic: Inpatient care
Aug 4, 2026 - Notice of a final rule from the Centers for Medicare & Medicaid Services (CMS) revising the hospital inpatient prospective payment system (IPPS) for operating and capital-related costs of acute care hospitals for fiscal year 2027. This rule also makes changes to Medicare graduate medical education (GME) for teaching hospitals; payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals; and requirements for certain quality programs, among other things. The Office of the National Coordinator for Health Information Technology (ONC) also adopts certain health information technology (health IT) standards and specifications on behalf of HHS. These regulations are effective October 1, 2026.
Source: Federal Register
Aug 3, 2026 - Notice of a final rule from the Centers for Medicare & Medicaid Services (CMS) updating the prospective payment system (PPS) rates for inpatient rehabilitation facilities (IRFs) for fiscal year 2027. Among other things, this rule includes classification and weighting factors for the IRF prospective payment system's case-mix groups, finalizes the third and final year of the 3-year phase-out of the rural adjustments, and updates the IRF Quality Reporting Program and changes to the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program. This rule also summarizes comments received in response to requests for information regarding alternative data sources for the IRF PPS wage index and potential future IRF PPS payment reform. These regulations are effective October 1, 2026.
Source: Federal Register
CMS: Medicare Program; FY 2027 Inpatient Psychiatric Facilities Prospective Payment System-Rate Update
Federal Register
Jul 31, 2026 - Notice of final rule from the Centers for Medicare & Medicaid Services (CMS) updating the FY 2027 prospective payment rates, outlier threshold, and wage index for Medicare Inpatient Hospital Services provided by inpatient psychiatric facilities (IPF), including psychiatric hospitals and excluded psychiatric units of an acute care hospital or Critical Access Hospital. Among other things, this rule also refines the IPF PPS outlier policy, implements a standardized IPF patient assessment, and removes two measures used in the IPF Quality Reporting Program. These regulations are effective October 1, 2026.
Source: Federal Register
Jul 31, 2026 - Announces new bipartisan legislation that would increase access to the Rural Emergency Hospital (REH) program. The bill would both add eligibility flexibility for current hospitals at risk of closure and expand access for some previously closed rural hospitals. The bill would also allow REHs to offer inpatient psychiatric care, offer limited inpatient rehabilitation services, and enter into swing bed agreements. Also notes other legislation to support rural healthcare.
Source: Office of Senator Cindy Hyde-Smith

