Becker's Healthcare November 4, 2024
Alan Condon

CMS has finalized its annual payment updates for physicians and outpatient and home health services for 2025.

Eleven takeaways from the trio of final rules published Nov. 1:

Outpatient Prospective Payment System rule

1. CMS finalized a 2.9% pay increase for hospital outpatient and ASC services in 2025, based on a 3.4% market update minus a 0.5% productivity adjustment.

2. The pay increase aligns with CMS’ goals of balancing inflationary pressures with productivity improvements in healthcare.

3. CMS raised Medicare pay rates for intensive outpatient and partial hospitalization programs in outpatient settings to improve access for behavioral health services. These programs serve patients with acute mental health needs or substance use disorders, paid on a per diem basis. By...

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Topics: CMS, Govt Agencies, Health System / Hospital, Insurance, Medicare, Physician, Post-Acute Care, Provider
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