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Advisory
Member

CMS Issues CY 2026 Physician Fee Schedule Final Rule

Advisory
The Centers for Medicare & Medicaid Services (CMS) Oct. 31 issued a final rule that updates physician fee schedule (PFS) payments for calendar year (CY) 2026.
Physician Fee Schedule (PFS)/MACRA/QPP, Outpatient Prospective Payment Systems (OPPS), Telehealth, Medicare, Ambulatory and Outpatient Care, Behavioral Health Care Delivery, Medicare, Merit-based Incentive Payment System (MIPS), Interoperability, Medicare Physician Payment
Special Bulletin
Member

Special Bulletin: CMS Outpatient PPS and ASC Final Rule for CY 2025

Special Bulletin
The Centers for Medicare & Medicaid Services (CMS) Nov. 1 released its calendar year (CY) 2025 outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) final rule. The rule increases OPPS rates by a net 2.9% in CY 2025 compared to CY 2024.
Outpatient Prospective Payment Systems (OPPS), Ambulatory Surgical Center (ASC), Ambulatory and Outpatient Care, Maternal Health, Child and Adolescent Health
Advisory
Member

Hospital Outpatient, Ambulatory Surgical Center Proposed Rule for CY 2026

Advisory
The AHA is disappointed that CMS proposes an inadequate Medicare outpatient hospital payment update, as many hospitals — especially those in rural and underserved communities — operate under challenging financial pressures.
Outpatient Prospective Payment Systems (OPPS), Ambulatory Surgical Center (ASC), Medicare, Medicaid, Site-Neutral Payment Proposals