CHA News

CHA Issues Summary of CY 2025 OPPS Proposals

What’s happening: CHA has issued a comprehensive summary of the calendar year (CY) 2025 outpatient prospective payment system (OPPS) proposed rule. 

What else to know: CHA will hold a webinar on the OPPS proposals on Aug. 8. 

The summary details key provisions, including: 

  • Payment updates  
  • Additions to the inpatient-only list 
  • Clarified policies for remotely furnished services 
  • Changes to the comprehensive ambulatory payment classification packaging policies 
  • Creation of a separate payment for high-cost radiopharmaceuticals 
  • Policies related to incarcerated individuals 
  • New Conditions of Participation for obstetrical services 
  • Requirements for the Hospital Outpatient Quality Reporting Program  
  • Modifications to the Overall Hospital Quality Star Rating methodology 

Comments on the proposed rule are due to the Centers for Medicare & Medicaid Services by Sept. 9.