Healthcare Finance News November 5, 2024
Jeff Lagasse

The AHA says the final rule only worsens the problem of “sustained and substantial underpayment” of hospitals.

The American Hospital Association has criticized the Centers for Medicare and Medicaid Services for its Hospital Outpatient Prospective Payment System (OPPS) final rule, saying the increase for outpatient hospital services doesn’t go far enough.

CMS issued a 2.9% Medicare payment rate for hospital outpatient and Ambulatory Surgical Center (ASC) services for calendar year 2025, saying it did so in accordance with Medicare law.

Both updates are based on the projected hospital market basket percentage increase of 3.4%, reduced by a 0.5 percentage point productivity adjustment.

Decrying what it sees as “sustained and substantial underpayment” of hospitals, the AMA said the final rule “only...

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Topics: CMS, Govt Agencies, Health System / Hospital, Insurance, Medicare, Provider
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