Inpatient Prospective Payment System (IPPS) Data Dashboard

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Updated to include Medicare claims data thru Q3 2024.

What is the cost of a knee implant in the inpatient setting? How much does Medicare pay for different types of cardiac valve procedures? How have Medicare inpatient volumes changed over time for inpatient hip and femur procedures?

Our new, interactive Inpatient Prospective Payment System (IPPS) Data Dashboard shows the actual costs to hospitals for providing care to Medicare fee-for-service inpatients based on data published by the Centers for Medicare & Medicaid Services (CMS) as part of its rulemaking cycle. CMS uses this information to set payment rates for individual Medicare Severity-Diagnosis Related Groups (MS-DRGs), and it can be used by device manufacturers, hospitals and the general public to understand the resources needed to care for different types of inpatients.

Our most recent update includes:

  • Longitudinal trends in Medicare fee-for-service (FFS) payments and volume by MS-DRG, from 2019 through 2024 Q2
  • Average Medicare FFS costs by cost-department for nearly all MS-DRGs
  • The top 3 most common primary diagnosis and procedure codes (when reported) by MS-DRG

ACCESS THE DASHBOARD

Tailored Analyses for Your Organization

McDermott+ has access to the MedPAR data used by CMS for rate setting and can perform more tailored analyses, including but not limited to:

  • Modeling how regulatory and legislative proposals will impact individual hospitals/providers
  • Estimating hospital margins for inpatient and outpatient care (including building budget impact models to support marketing efforts for device manufacturers and life sciences companies)
  • Simulating how changes in the MS-DRG grouper will impact DRG weights
  • Performing  New Technology Add-on Payment (NTAP) (pre-application) cost-threshold analysis and post-approval analysis of NTAP payments by hospitals

[View source.]

DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations. Attorney Advertising.

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