Comment on CMS-2026-1256-0002

Summary: The Association of American Medical Colleges (AAMC) opposes several components of the proposed FY 2027 IPPS rule, specifically arguing that the proposed market basket update is too low to cover rising hospital input costs and that the total factor productivity adjustment is inappropriately high. They also request that CMS withdraw proposed changes to cost allocation principles for organ acquisitions and instead adopt more transparent, objective, and sustainable frameworks for various payment and quality models.