Healthcare Innovation November 23, 2025
Payment policies impact approximately 4,000 hospitals and roughly 6,000 Ambulatory Surgical Centers
Key Highlights
- CMS finalized a 2.6 percent update in outpatient and ASC payment rates for 2026, based on market basket adjustments minus productivity factors.
- The hospital star rating methodology now emphasizes safety, with updates to quality reporting programs to enhance transparency and accountability.
- Site-neutral payments for drug administration services are extended to more outpatient settings, promoting fair pricing for consumers.
- Hospitals are required to include senior official attestations to improve the accuracy of price transparency data.
- Reforms aim to address overpayments in specialty care, support primary care, and introduce new models like the Ambulatory Specialty Model to improve patient outcomes.
On Friday, November 21, the Centers...
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