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We are proposing to revise the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals to implement changes arising from our continuing experience with these systems for FY 2019. Some of these proposed changes implement... v. 1. Torah. The Balanced Budget Act of 1997, as amended by the Omnibus Consolidated and Emergency Supplemental Appropriations Act (OCESAA) of 1999, called for the development and implementation of a prospective payment system (PPS) for Medicare home health services. r Health Research and Educational Trust DOI: 10.1111/j.1475-6773.2009.00980.x RESEARCH ARTICLE Cost Implications of Organizing Nursing Home Workforce in Teams Dana B. Mukamel, Shubing Cai, and Helena Temkin-Greener Objective. 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