Regulations

CMS Proposes Reducing Medicare Payments to Physicians

What’s happening: The Centers for Medicare & Medicaid Services (CMS) issued its calendar year (CY) 2025 physician fee schedule (PFS) proposed rule.  

What else to know: The proposed CY 2025 PFS conversion factor is $32.36, a decrease of $0.93, or 2.8%, from CY 2024.  

CMS Proposes Inadequate Outpatient Payment Update

What’s happening: The Centers for Medicare & Medicaid Services (CMS) issued the calendar year (CY) 2025 outpatient prospective payment system proposed rule.  

What else to know: The rule includes a net market basket update of 2.6%. As a result of all proposed changes, CMS estimates that hospital outpatient payments will increase by $1.8 billion in CY 2025, excluding changes in enrollment, case mix, and utilization.