Families USA Submits Comments on the 2027 Inpatient Prospective Payment System (IPPS) Proposed Rule

Families USA submitted comments on proposed Medicare Hospital Inpatient Prospective Payment System (IPPS) regulation for Fiscal Year 2027.

Changes made through the IPPS rule offer an important opportunity to both strengthen the Medicare program and to signal to other payers the need to realign the economic incentives of health care payment and delivery to reduce inequities and drive towards a higher value health care system.

Our comments are focused on the following sections of the proposed rule:

• II.C. Proposed Changes to Medicare Severity Diagnosis-Related Group (MS-DRG) Diagnosis Codes for FY2027
• X.C. Proposed Expansion of the Comprehensive Care for Joint Replacement (CJR) Model

The comment letter details our opposition to the proposal by the Centers for Medicare & Medicaid Services (CMS) to eliminate additional inpatient reimbursement for patients experiencing homelessness as well as our support of the proposal to adopt a new Center for Medicare and Medicaid Innovation (CMMI) model for comprehensive joint replacements.