Premier Inc. has submitted comments on the proposed rules for the 2026 Inpatient Prospective Payment System (IPPS) and Skilled Nursing Facility (SNF) Payment System, urging several key changes to enhance payment accuracy and care quality. For the IPPS, Premier emphasizes the need to update the market basket to better account for labor costs and inflation. Regarding SNFs, Premier recommends the development of methodologies to accurately capture wage costs and enhance interoperability through electronic data exchange. They also suggest incentivizing SNFs to adopt electronic surveillance technology to curb healthcare-associated infections. Additionally, Premier proposes a Value-Based Purchasing program with a 70% payback rate and calls for reforms to the wage index to sustain the workforce, particularly in rural areas. They advocate for refinements to the Transforming Episode Accountability Model $(TEAM)$ to align better with existing models and ensure successful implementation.