Key implementation dates with other aspects of the IPAB
| Providers of services or supplies | Inflationary payment update | Applicable period | Exemption period* |
| Inpatient acute hospitals | Productivity adjustment. Reduction in excess of a reduction due to productivity | Begins FY2012FY2010–FY2019 | Through 12/31/2019 |
| Skilled nursing facilities | Productivity adjustment | Begins FY2012 | None |
| Long-term care hospitals | Productivity adjustment. Reduction in excess of a reduction due to productivity | Begins RY2012RY2010–RY2019 | Through 12/31/2019 |
| Inpatient rehabilitation facilities | Productivity adjustment. Reduction in excess of a reduction due to productivity | Begins FY2012FY2010–FY2019 | Through 12/31/2019 |
| Home health agencies | Productivity adjustment. Annual reduction of 1% | Begins CY2015CY2011–CY2013 | None |
| Psychiatric hospitals | Productivity adjustment. Reduction in excess of a reduction due to productivity | Begins RY2012RY2010–RY2019 | Through 12/31/2019 |
| Hospice care | Productivity adjustment. Reduction in excess of a reduction due to productivity | Begins FY2013FY2013–FY2019 | Through 12/31/2019 |
| Dialysis | Productivity adjustment | Begins CY2012 | None |
| Outpatient Hospitals | Productivity adjustment. Reduction in excess of a reduction due to productivity | Begins CY2012CY2010–CY2019 | Through 12/31/2019 |
| Ambulance services | Productivity adjustment | Begins CY2011 | None |
| Ambulatory surgical center services | Productivity adjustment | Begins CY2011 | None |
| Laboratory services | Productivity adjustment. Reduction in excess of a reduction due to productivity | Begins CY2011CY2011–CY2015 | Through 12/31/2015 |
| Certain durable medical equipment | Productivity adjustment | Begins CY2011 | None |
| Prosthetic devices, orthotics and prosthetics | Productivity adjustment | Begins CY2011 | None |
| Other items | Productivity adjustment | Begins CY2011 | None |
Source: Newman and Davis.4
↵* Since in the first year the chief actuary in the Centers for Medicare and Medicaid Services can potentially make a determination that projected Medicare expenditures exceed the projected target in 2013, the earliest that any board recommendations could be implemented would be August 15, 2014 for the fiscal year beginning in October. Therefore, exemptions are only potentially significant for the period beginning October 1, 2014 through December 31, 2019.
CY, calendar year; FY, fiscal year; IPAB, Independent Payment Advisory Board; RY, rate year.