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CMS bumps hospital outpatient rates 2.9% in 2025: 10 notes
Becker's Healthcare November 4, 2024
CMS issued the 2025 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Final Rule Nov. 1, with several new elements for hospital outpatient departments.
Ten things to know:
1. CMS finalized a 2.9% payment rate increase for hospital outpatient and ASC services in 2025, aimed at supporting hospitals that meet quality reporting requirements. This increase is based on a 3.4% market basket update, reduced by a 0.5 percentage points for a productivity adjustment. The adjustment aligns with CMS’s goals of balancing inflationary pressures with productivity improvements in healthcare.
2. CMS updated Medicare payment rates for Intensive Outpatient Programs and Partial Hospitalization Programs in hospital outpatient departments to improve behavioral health service access. These programs serve patients...
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