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Tier 1payment_ruleApprovedev-us-sc-ipps-fy2026-fs

FY 2026 IPPS and LTCH PPS Final Rule, CMS-1833-F: HAC Reduction Program and Hospital Value-Based Purchasing

Centers for Medicare & Medicaid Services (CMS)

Summary

The HAC Reduction Program reduces payment by 1 per cent for applicable hospitals ranking in the worst-performing quartile on selected measures of hospital-acquired conditions. Hospital Value-Based Purchasing is budget-neutral and funded by reducing participating hospitals' base operating DRG payments by 2 per cent each year and redistributing the whole amount as value-based incentive payments. The Promoting Interoperability Program sets an EHR reporting period of a minimum continuous 180 days in CY2026 and requires attestation to security risk management and to all eight 2025 SAFER Guides.

Supporting location Hospital-Acquired Condition (HAC) Reduction Program; Hospital Value-Based Purchasing (VBP) Program; Medicare Promoting Interoperability Program

Open source

Published

31 Jul 2025

Applicable from

1 Oct 2025

Accessed

2 Sep 2026

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