"2022 cost report number reflects Maryland, SCH, and rural demo adjustments"																		
Increases from 2022																		
																		
FY	Update	Discharge	Case mix	Other	Total	DSH	Billions											
2022						"13,022"	13.022											
2023	1.043	0.994	0.990	1.0577	1.0859	"14,140"	14.140											
2024	1.031	0.997	0.997	1.0310	1.0570	"14,946"	14.946											
2025	1.029	1.020	0.9997	1.0029	1.0527	"15,734"	15.734											
2026	1.026	1.020	1.0023	1.0027	1.0519	"16,550"	16.550											
																		
Discharges are for all inpatient hospitals and not just IPPS.																		
"Other column includes impact of just IPPS discharges and impact of DSH increasing at a higher rate based on the 2025 impact file, which reflects the change in the mix of cases between 2022 and 2023"																		
																		
																		
																		
Update column is determined as follows:																		
																		
FY	MB	Prod	D&C	Total														
																		
2023	4.1	0.3	0.5	4.3														
2024	3.3	0.2	0	3.1														
2025	3.4	0.5	0	2.9														
2026	3.3	0.7	0	2.6														
																		
																		
																		
"Based on the 2024q4 forecast, the FY 2026 percent change of the 2023-based IPPS operating market basket is projected to be 3.3 percent. The FY 2026 productivity adjustment is projected to be 0.7 percent. "																		
