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Tag: GME

FFY 2024 IPPS Proposed Rule – Graduate Medical Education (GME)

On April 10, the Centers for Medicare & Medicaid Services (CMS) published the FFY 2024 IPPS Proposed Rule (effective for discharges on or after October 1, 2023).” Toyon is pleased to provide our summary of:  Topic 7 – FFY 2024 IPPS Proposed Rule – Graduate Medical Education (GME) for CYs 2010-2019

Medicare Advantage Allied Health Payments 
In response to Section 4143 of the Consolidated Appropriations Act, 2023 (CAA, 2023), CMS published the recalculated Nursing and Allied Health Education Payment Pools for Medicare Advantage (MA) funding for calendar years 2010 through 2019 only (see Table 6 below). MACs are instructed to initiate the revised payments for hospitals’ eligible cost reporting years. The eligibility criteria include that 1) a hospital’s cost report is within the three-year reopening period as of 12/29/20228 and 2) the Allied Health program(s) were in operation as of 12/29/2022. In addition, this change does not affect the percent reduction to MA GME funding (i.e., there are no changes to the DGME MA percent reduction amounts9). For CY 2020 and subsequent years, the MA Nursing and Allied Health Education Payment pool reverts back to the original $60 million. 
9 As specified in Change Request (CR) 11642 for CYs 2010 through 2017, CR 11642 for CY 2018, and CR 12407 for CY 2019. 
Comments are due to CMS by Friday, June 9 via (see instructions under the “submit a comment” tab and reference file code “CMS-1785-P”). Toyon will share our comment letter in the coming weeks. 

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FFY 2024 Inpatient Prospective Payment System Proposed Rule
Webinar: May 9, 2023 – 10 a.m. PDT

Please join Toyon on Tuesday May 9, from 10-11:30 a.m. PDT for our presentation of the FFY 2024 Inpatient Prospective Payment System (IPPS) Proposed Rule. Interested participants can register here for the webinar.

Toyon’s service line leaders will discuss key changes in the Proposed Rule, including:

  • Market Basket and updates to FFY 2024 payment rates
  • Wage Index, with emphasis on changes to “rural floor” indices
  • Disproportionate Share (DSH) funding and allowable 1115 waiver days
  • Request for Information on safety-net hospitals
  • Graduate Medical Education and Allied Health reimbursement

Provider Impact Analysis
Please see Toyon’s estimated Medicare FFY 2024 IPPS payments for your hospital(s) here. Estimates can be rendered by selecting your hospital(s) in the top left of the dashboard under “Provider.” The estimated FFY 2024 payments are compared to FFY 2023 and are broken down by each component of the Medicare rate as provided by CMS.

Please contact Fred Fisher at 888.514.9312 or with any questions or for additional information.

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Save the Date!
Toyon University® Presents:
The FFY 2023 IPPS
Proposed Rule  
You and your team are invited to Toyon’s open webinar on the FFY 2023 IPPS Proposed Rule May 20, from 10 a.m. PDT to 11 a.m. PDT.  
To sign up for the IPPS Proposed Rule Webinar, please register here.   
The Proposed FFY 2023 IPPS webinar will include analysis, insight, and recommended comments on CMS’s proposed rates including empirical DSH, Uncompensated Care DSH, Graduate Medical Education, Wage Index, and data impacted by COVID-19 affecting Medicare payments.   
Toyon will be providing a written summary of the FFY 2023 IPPS Proposed Rule prior to this webinar. Please feel free to email Fred Fisher at with any questions or topics of interest for your hospital(s). 
Toyon Analytics – FFY 2023 IPPS Proposed Rule 
Toyon is pleased to provide complimentary access to estimated hospital payments per the Medicare Federal Fiscal Year (FFY) 2023 IPPS Proposed Rule via an interactive dashboard here.
Please feel free to email Fred Fisher at with any questions on this forthcoming analysis. 
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