Policy & Medicine September 8, 2024
The United States Department of Health and Human Services (HHS) and Centers for Medicare and Medicaid Services (CMS) recently issued the 2025 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) proposed rule. In that proposed rule, CMS also proposed policies to increase access to care and advance health equity.
Hospital and ASC Payment Rates
CMS proposed to update OPPS payment rates for hospitals that meet applicable quality reporting requirements by 2.6%, based on the projected hospital market basket percentage increase of 3% (and reduced by a 0.4 percentage point productivity adjustment). CMS also proposed an update factor to the ASC rates for CY 2025 of 2.6%, applicable to ASCs that meet certain quality reporting requirements and based...
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