CMS Reduces Medicare Payments to Physicians in Final Rule
What’s happening: The Centers for Medicare & Medicaid Services (CMS) issued its calendar year (CY) 2025 Medicare physician fee schedule (PFS) final rule, in which the final CY 2025 PFS conversion factor is $32.35 — a decrease of 2.8% from CY 2024.
What else to know: CMS published a fact sheet on the CY 2025 Medicare PFS that shares the rate setting and conversion factor, and much more.
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.
2024 Legislative Wrap-up
Don’t miss CHA’s upcoming webinar — your essential guide to navigating new health care laws and regulations. This interactive session is designed to give you a clear, actionable understanding of the latest legislative updates that could impact your operations. Our expert panel will cover key 2024 legislation, highlight crucial deadlines, and answer your pressing questions, ensuring you’re well-prepared for the challenges and opportunities ahead.
CMS Delays Start Date for Proposed Payment Model to Expand Kidney Transplant Access
What’s happening: The Centers for Medicare & Medicaid Services (CMS) anticipates it will delay the proposed Increasing Organ Transplant Access (IOTA) Model start date until after Jan. 1, 2025.
What else to know: CMS anticipates a start date delay because it is still working to finalize the rule; the agency has not yet shared a new start date.
CMS Finalizes Medicare Observation Appeals Processes
What’s happening: The Centers for Medicare & Medicaid Services (CMS) has established appeals processes for Medicare beneficiaries who were admitted as inpatient but whose status changed to outpatient observation during their hospital stay.
What else to know: The appeals processes only apply to patients enrolled in traditional Medicare, not patients enrolled in Medicare Advantage.
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.
2025 Legal Update: Workplace Compliance in Health Care
This post has been archived and contains information that may be out of date.
This post has been archived and contains information that may be out of date.
Summary: Finalized Mental Health Parity Regulations
What’s happening: CHA has issued a members-only summary of the Mental Health Parity Final Rule that aims to improve access to mental health services by requiring health plans to make changes when inadequate access is provided.
What else to know: The regulations are effective Nov. 22.
CMS Webinar Covers Requirements for Hospital Price Transparency Machine-Readable File
What’s happening: The Centers for Medicare & Medicaid Services (CMS) will hold a webinar to bring hospitals up to speed on the price transparency machine-readable file (MRF) requirements.
What else to know: The webinar takes place on Oct. 21 from 10-11:30 a.m. (PT).