On August 7, 2012, CMS published a notice updating the FY 2013 prospective payment rates for Medicare inpatient hospital services provided by inpatient psychiatric facilities (IPFs) and IPF units.  Under the notice, estimated payments to IPFs are projected to increase by 0.8%, or approximately $36 million, considering all adjustments.  CMS is applying a 2.7% market basket update that is adjusted downward under the ACA by a 0.1 percentage point reduction and a 0.7 percentage point productivity adjustment.  The update is further adjusted as a result of, among other things, an update to the outlier threshold amount that decreases outlier payments from approximately 3.1% to 2.0% in 2013.