Still, hospitals said the new payment rates were inadequate and chafed against a new mandatory joint replacement payment model that will go into effect in 2028. Considering those factors, including another wage index reduction, for-profit facilities receive a 1.4% pay increase. “Despite this, CMS has made another inadequate update to inpatient payment rates,” she said. In addition to the pay increase, regulators also finalized a mandatory joint replacement model, dubbed CRJ-X. In addition to the inpatient rule, regulators on Friday also finalized a 2.3% pay raise to long-term care hospitals.