CHA Issues Summaries of CY 2025 OPPS, Physician Fee Schedule Final Rules
What’s happening: Summaries of the calendar year (CY) 2025 outpatient prospective payment system (OPPS) and physician fee schedule final rules are available for CHA members.
What else to know: The rules are effective Jan. 1, 2025.
Register for Upcoming DataGen Webinar on CY 2025 OPPS Final Rule
What’s happening: On Dec. 5 at noon (PT), a DataGen webinar will share an overview of and the calendar year 2025 outpatient prospective payment system (OPPS) final rule and analysis. What else to know: CHA encourages members to register for this webinar.
2025 ESRD PPS Final Rule Members-Only Summary Available Now
What’s happening: A members-only summary of the Centers for Medicare & Medicaid Services’ calendar year (CY) 2025 end-stage renal disease (ESRD) prospective payment system (PPS) final rule, prepared by Health Policy Alternatives, Inc., is available.
What else to know: The regulation is effective Jan. 1, 2025.
Members-Only Summary on CMS 2025 Home Health PPS Final Rule Now Available
What’s happening: A summary of the Centers for Medicare & Medicaid Services’ calendar year (CY) 2025 home health (HH) prospective payment system (PPS) final rule, prepared by Health Policy Alternatives, Inc., is available solely to CHA members.
What else to know: The regulation is effective Jan. 1, 2025.
CMS Finalizes Medicare Payments for Home Health, Dialysis Services
What’s happening: The Centers for Medicare & Medicaid Services (CMS) issued final rules for the calendar year 2025 home health prospective payment system (PPS) and end-stage renal disease PPS.
What else to know: CMS estimates a 0.5% increase in payments for home health agencies and dialysis providers treating end-stage renal disease (ESRD) patients will see an increase of 2.7%.
CMS Finalizes Inadequate Outpatient Payment Update, Establishes New Conditions of Participation
What’s happening: The Centers for Medicare & Medicaid Services (CMS) issued its calendar year (CY) 2025 outpatient prospective payment system (OPPS) final rule, including a net market basket update of 2.9%.
What else to know: CMS also establishes new health and safety standards for obstetrical services to be phased in over two years.
Correction Notices Issued for Medicare Payment Final Rules
What’s happening: The Centers for Medicare & Medicaid Services issued correction notices to the federal fiscal year (FFY) 2025 Medicare payment final rules.
What else to know: The changes are minor, and the inpatient prospective payment system (IPPS) final rule changes are not reflective of the low-wage index interim final rule.
CMS Discontinues Low-Wage Index Policy for FFY 2025
What’s happening: The Centers for Medicare & Medicaid Services (CMS) has eliminated its low-wage index hospital policy for federal fiscal year (FFY) 2025.
What else to know: CHA has supported a legal challenge to this policy on behalf of member hospitals since FFY 2020.
Summary of FFY 2025 IPPS Final Rule Includes Details on New Accountability Model
What’s happening: CHA has issued a detailed summary of the federal fiscal year (FFY) 2025 inpatient prospective payment system final rule.
What else to know: The summary includes information on the new Transforming Episode Accountability Model (TEAM) that will be mandatory for more than 130 California hospitals across 10 geographic areas.
CHA Issues Comments on CY 2025 OPPS Proposed Rule
What’s happening: CHA has submitted comments on the calendar year 2025 outpatient prospective payment system proposed rule.
What else to know: Comments were due to the Centers for Medicare & Medicaid Services (CMS) on Sept. 9.