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Webinar Recordings
Member

The CY 2026 Outpatient PPS/ASC Payment System Final Rule Webinar

Webinar Recordings
This webinar reviews key provisions proposed in the Outpatient, Ambula
Outpatient Prospective Payment Systems (OPPS), 340B Drug Pricing Program, Site-Neutral Payment Proposals, Access to Behavioral Health, Ambulatory Surgical Center (ASC)
Guides and Reports
Public

Comparison of Care in Hospital Outpatient Departments and Independent Physician Offices 2019-2024

Guides and Reports
Site neutral payments may have adverse effects on Medicare patient access to care.
Ambulatory and Outpatient Care, Site-Neutral Payment Proposals
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
Guides and Reports
Public

Comparison of Care in Hospital Outpatient Departments and Independent Physician Offices Among Cancer Patients

Guides and Reports
Site neutral payments may have adverse effects on Medicare cancer patient access to care.
Ambulatory and Outpatient Care, Site-Neutral Payment Proposals
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
Webinar Recordings
Member Non-Fed

The CY 2025 Outpatient PPS/ASC Payment System Proposed Rule Webinar Recording

Webinar Recordings
The CY 2025 Outpatient PPS/ASC Payment System Proposed Rule slide deck from August 6, 2024, AHA webinar.
Outpatient Prospective Payment Systems (OPPS), Ambulatory Surgical Center (ASC)
Guides and Reports
Member

Proposals to Reduce Medicare Payments Would Jeopardize Access to Essential Care and Services for Patients

Guides and Reports
This report provides key evidence as to why site-neutral payment policies are misguided, highlighting the substantial negative impact these policies and new legislative proposals would have on access to the care that the nation’s hospitals and health systems provide.
Site-Neutral Payment Proposals, Mergers & Acquisitions