Launched in 2008, âThe Rachel Maddow Showâ follows the machinations of policy making in America, from local political activism to international diplomacy.
amount ($10,000) and the outlier payment amount ($29,540). IPPS Outlier Payment Policy Changes In the 2003 IPPS Final Rule, CMS made changes to its outlier payment
To qualify for a cost outlier a hospital's charges for a case (adjusted to cost) must exceed the payment rate for the MS-DRG by a fixed amount which changes each year. The additional payment amount is equal to 80% of the difference between the hospital's entire cost for the stay and the threshold amount.