Forecast Ledgerinterventional psychiatry and psychedelic medicineQuoted, dated predictions scored against public outcomes under one written method. Every score links to the words, the rule and the evidence.

Not admitted · Not a forecast

Rules 1.1.0 · as of 14 Sep 2026

Quote

Not a forecast

“However, if your setting is paid a bundled amount, like every other hospital, stay because your hospital uses the IPF PPS contracting system, and there is an add-on payment to account for the cost of treatment like SAINT —the New Technology Add-on Payment system (NTAP) under medicare—it makes all the financial sense in the world to do the new thing. You get paid more. You probably get the patient out the door faster. That's better for them, and it's better for your hospital financially.”
· We Made Inpatient Psychiatric Treatment Suck Less with this One Weird Trick · substack post

Post on hospital payment models (DRG vs per diem vs IPF PPS) and the 2024 CMS New Technology Add-On Payment for SAINT. The author argues that under per diem contracting, which pays psychiatric hospitals by the day, a hospital is unlikely to adopt a novel treatment such as SAINT that would reduce the number of paid days.

Descriptive, retrospective, or a statement of preference; no future state asserted.