2024-22496. Medicare Program; FY 2025 Inpatient Psychiatric Facilities Prospective Payment System-Rate Update; Correction

Table 24—FY 2025 IPF PPS Payment Systems

[Percent change in columns 3 through 6]

Facility by type	Number of facilities	Outlier	Refinement of patient-level adjustments and ECT	Wage index FY25, LRS, and 5% Cap	Total percent change 1
(1)	(2)	(3)	(4)	(5)	(6)
All Facilities	1,419	−0.3	0.0	0.0	2.5
Total Urban	1,162	−0.3	0.0	−0.2	2.3
Urban unit	645	−0.4	0.5	−0.6	2.3
Urban hospital	517	−0.1	−0.5	0.2	2.5
Total Rural	257	−0.1	−0.3	1.4	3.9
Rural unit	197	−0.1	0.1	1.1	4.0
Rural hospital	60	−0.2	−1.1	2.1	3.6
By Type of Ownership:
Freestanding IPFs:
Urban Psychiatric Hospitals:
Government	119	−0.5	1.1	−0.6	2.7
Non-Profit	97	−0.1	−0.1	−0.3	2.3
For-Profit	301	0.0	−0.9	0.6	2.5
Rural Psychiatric Hospitals:
Government	30	−0.3	1.6	−0.3	3.9
Non-Profit	12	−0.5	−1.5	0.3	1.0
For-Profit	18	0.0	−2.3	3.7	4.2
IPF Units:
Urban:
Government	93	−0.8	0.8	−0.1	2.7
Non-Profit	430	−0.4	0.7	−0.9	2.1
For-Profit	122	−0.2	−0.5	0.1	2.3
Rural:
Government	44	−0.1	−0.1	0.7	3.4
Non-Profit	113	−0.2	0.4	1.2	4.3
For-Profit	40	−0.1	−0.1	1.3	4.0
By Teaching Status:
Non-teaching	1,217	−0.2	−0.2	0.3	2.7
Less than 10% interns and residents to beds	100	−0.5	0.6	−1.1	1.9
10% to 30% interns and residents to beds	76	−0.6	1.2	−1.2	2.2
More than 30% interns and residents to beds	26	−0.7	1.2	−0.1	3.2
By Region:
New England	99	−0.4	0.9	−1.5	1.8
Mid-Atlantic	191	−0.4	0.3	−1.7	0.9
South Atlantic	228	−0.2	0.4	1.3	4.4
East North Central	225	−0.2	0.0	0.5	3.2
East South Central	140	−0.1	−0.2	2.6	5.0
West North Central	95	−0.5	1.1	0.0	3.4
West South Central	213	−0.1	−1.2	1.6	3.2
Mountain	102	−0.2	−0.3	0.8	3.1
Pacific	126	−0.3	−0.5	−1.8	0.1
By Bed Size:
Psychiatric Hospitals:
Beds: 0-24	87	−0.1	−0.9	0.8	2.5
Beds: 25-49	86	0.0	−1.3	1.3	2.7
Beds: 50-75	91	−0.1	−0.4	0.9	3.2
Beds: 76 +	313	−0.1	−0.3	0.0	2.3
Psychiatric Units:
Beds: 0-24	440	−0.2	0.0	0.3	2.9
Beds: 25-49	229	−0.3	0.5	−0.7	2.3
Beds: 50-75	103	−0.4	0.7	0.1	3.2
Beds: 76 +	70	−0.7	0.6	−1.2	1.5
1  This column includes the impact of the updates in columns (3) through (6) above, and of the IPF market basket percentage for FY 2025 of 3.3 percent, reduced by 0.5 percentage point for the productivity adjustment as required by section 1886(s)(2)(A)(i) of the Act.