Last week, CMS issued proposed rules that would make certain payment and policy changes to the payment systems for hospice providers, skilled nursing facilities, inpatient rehabilitation facilities and inpatient psychiatric facilities.  Medicare payments would increase under each of the proposed rules:  hospices by an estimated 1.3 percent ($230 million); SNFs by an estimated 2.0 percent ($750 million); IRFs by an estimated 2.2 percent ($160 million); and IPFs by an estimated 2.1 percent ($100 million).  The SNF and IPF proposed rules will be published in the Federal Register on May 6, the IPF proposed rule will be published on May 7, and the hospice proposed rule will follow in the May 8 publication.  Pre-publication copies are available here.  They are also available by clicking on the following links: Proposed Rule - HospiceProposed Rule - SNFsProposed Rule - IRFs; and Proposed Rule - Inpatient Psych