Comment on CMS-2026-1256-0002

Summary: The Michigan Health & Hospital Association (MHA) opposes the proposed FY 2027 Medicare payment updates, arguing that the 3.2% market basket increase is insufficient to cover significant inflationary costs for labor, drugs, and supplies. They specifically request that CMS eliminate the proposed productivity adjustments, make certain rural hospital programs permanent, and reduce the magnitude of proposed cost outlier threshold increases.