---
title: CMS FFY 2027 Inpatient PPS Proposed Rule
description: CMS posted the display version of the FY 2027 IPPS proposed rule on Friday, April 10. Comments on the proposed rule posted Tuesday, April 14 are due by June 9, 2026.
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---

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[Chris Cusimano](https://public.govdataservices.com/the-scoop/author/chris-cusimano) Apr 14, 2026, 11:11:04 AM 1 min read

# CMS FFY 2027 Inpatient PPS Proposed Rule

[Previous](https://public.govdataservices.com/the-scoop/cms-2027-inpatient-psychiatric-facility-ipf-proposed-rule)

<https://public.govdataservices.com/the-scoop>

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CMS posted the display version of the FY 2027 IPPS proposed rule on Friday, April 10. Comments on the proposed rule posted Tuesday, April 14 are due by June 9, 2026. The

Proposed Rule can be found here:  [FY 2027 IPPS Proposed Rule](https://www.federalregister.gov/documents/2026/04/14/2026-07203/medicare-program-hospital-inpatient-prospective-payment-systems-for-acute-care-hospitals-ipps-and)

Payments:

- 2.4% payment update from 3.2% minus 0.8% productivity growth
- Rural support (MDH, low-volume) expire Dec 31, 2026
- UCC DSH pool calculated to drop to $7.46BB from $7.71BB

Mandatory Bundled Payments CJR-X Proposed:

- Nationwide, mandatory covering hips, knees, ankles
- Inpatient + Outpatient effective Oct 1, 2027

Quality:

- Adding: diabetes “excess days”, sepsis readmissions, advance care planning
- Removing process-heavy measures but shortening performance windows

FFS and MA:

- Core Measures on total Medicare performance (FFS + MA)
- Policy adjustments (like 340B) are harder to isolate
- 340B Payment mechanics are increasingly embedded in projections

What This Means for Hospital Leaders

- Risk is shifting from CMS → hospitals
- MA strategy and contracting more important than ever

![avatar](https://public.govdataservices.com/hs-fs/hubfs/chriscusimano.jpg?width=290&name=chriscusimano.jpg)

#### [Chris Cusimano](https://public.govdataservices.com/the-scoop/author/chris-cusimano)

## RELATED ARTICLES

### [Chris Cusimano Apr 10, 2023, 4:15:00 PM \< 1 min read CMS Releases FFY 2024 IPPS Proposed Rule On April 10, 2023, CMS issued the Federal Fiscal Year 2024 Inpatient Prospective Payment System Proposed Rule. Start Reading](https://public.govdataservices.com/the-scoop/ffy-2024-ipps-proposed-rule)

### [Chris Cusimano Jun 4, 2024, 12:13:17 PM 2 min read CMS Ruling 1498-R3: A Partially Murky Resolution of SSI Ratio's Sordid History The SSI ratio is a critical factor in determining the amount of Medicare DSH Reimbursement. Start Reading](https://public.govdataservices.com/the-scoop/cms-ruling-1498-r3-a-partially-murky-resolution-of-ssi-ratios-sordid-history)

### [Chris Cusimano Apr 7, 2026, 5:15:57 PM 1 min read CMS 2027 Inpatient Psychiatric Facility (IPF) Proposed Rule On April 7, 2026 CMS released the FY 2027 IPF Proposed Rule with a modest +2.3% net payment update. Key takeaways are the ... Start Reading](https://public.govdataservices.com/the-scoop/cms-2027-inpatient-psychiatric-facility-ipf-proposed-rule)

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