Advisory Board November 5, 2024
CMS last week released several final rules updating payments for physicians, outpatient services, ambulatory surgical centers, and home health and dialysis providers for calendar year (CY) 2025.
Introduction to Medicare payment reform
The OPPS final rule for 2025
Under the Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System final rule, CMS will increase payment rates by a net 2.9% for CY 2025 compared to 2024. This includes a 3.4% market basket update, offset by a 0.5-percentage point productivity adjustment.
According to Modern Healthcare, the 2.9% payment increase is slightly higher than the 2.6% originally proposed by CMS in July.
Under the final rule, hospitals are also required to meet new quality standards for obstetrical care to...
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