During the week of July 29, 2019, the Centers for Medicare and Medicaid Services (CMS) issued its Inpatient Prospective Payment System final rule for fiscal year (FY) 2020, which aims to address payment disparities for rural and urban health facilities and increase add-on payments for emerging technology and therapies. The 2,273-page final rule will affect about 3,300 acute care facilities and is expected to increase total Medicare spending on inpatient hospital services, including capital, by about $3.8 billion in FY 2020 when compared with FY 2019.