Summary of Physician Fee Schedule Proposals, Specialty Impact Analysis Available
What’s happening: CHA has issued a members-only summary and specialty impact analysis of the calendar year 2025 physician fee schedule (PFS) proposed rule.
What else to know: Comments on the proposed rule are due to the Centers for Medicare & Medicaid Services by Sept. 9.
CMS Releases Post-Acute Care, Psych Payment Final Rules
What’s happening: The Centers for Medicare & Medicaid Services (CMS) issued the federal fiscal year (FFY) 2025 inpatient rehabilitation facility (IRF) prospective payment system (PPS), skilled-nursing facility (SNF) PPS, inpatient psychiatric facility (IPF) PPS, and hospice wage index final rules.
What else to know: The policy and payment provisions in the final rules will be effective for FFY 2025 discharges, beginning Oct. 1.
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.
CMS Final Rule Requires Hospitals to Install Automatic Sprinkler Systems by July 2028
What’s happening: In 2014, the Centers for Medicare & Medicaid Services (CMS) adopted a final rule to update fire safety standards for hospitals, critical access hospitals, long-term care facilities, ambulatory surgery centers, and other health care facilities.
What else to know: The final rule is available in the Federal Register.
Summary: CY 2025 Home Health PPS Proposed Rule
What’s happening: A members-only summary, prepared by Health Policy Alternatives, Inc., of the calendar year (CY) 2025 home health prospective payment system (PPS) proposed rule is available.
What else to know: Comments on the proposals are due to the Centers for Medicare & Medicaid Services by Aug. 26.
Summary: CY 2025 ESRD PPS Proposed Rule
What’s happening: A members-only summary, prepared by Health Policy Alternatives, Inc., of the calendar year (CY) 2025 end-stage renal disease (ESRD) prospective payment system (PPS) proposed rule is available.
What else to know: Comments on the proposals are due to the Centers for Medicare & Medicaid Services by Aug. 26.
CHA Comments on Proposed Payment Model to Expand Kidney Transplant Access
What’s happening: CHA submitted comments in response to the proposed Increasing Organ Transplant Access (IOTA) Model, which aims to improve access to kidney transplants.
What else to know: CHA raised significant concerns about the model and requested it be made voluntary.
CHA Member Alert: Invite Congressional Representatives to Your Hospital This Summer
What’s happening: CHA is urging hospitals to build relationships with members of Congress by inviting them for a visit or tour during summer recess. Invitations should go out soon because schedules fill up quickly.
What else to know: These visits will help educate and inform lawmakers ahead of critical health care policy votes in December.
Summary: Finalized Provider Financial Penalties for Information Blocking
What’s happening: A members-only summary, prepared by Health Policy Alternatives, Inc., of the finalized provider disincentives for information blocking is available.
What else to know: The rule is effective July 31.
CMS Proposal Seeks to Mitigate Abnormal DME Billing in Medicare Shared Services Program
What’s happening: The Centers for Medicare & Medicaid Services (CMS) released a proposed rule on abnormal billing activity within the Medicare Shared Savings Program.
What else to know: The proposed rule seeks to mitigate the impact of the billing activity on reconciliation of accountable care organization (ACO) payments in calendar year (CY) 2023.