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News

CMS increases Medicare hospital outpatient department payment rates by 2.6% in CY 2026

The Centers for Medicare & Medicaid Services Nov. 21 issued a final rule that, among other provisions, increases Medicare hospital outpatient prospective payment system rates by a net 2.6% in calendar year 2026 compared to 2025.
Press Releases

AHA Statement on CY 2026 OPPS Final Rule

The AHA is disappointed that CMS has finalized cuts to hospital and health system services, including those in rural and underserved communities. Combined with its continued inadequate market basket updates, the agency is exacerbating the challenging financial pressures under which hospitals are operating to serve their patients and communities.
Advisory
Member

Aetna Delays, Issues Additional Details on ‘Level of Severity Inpatient Payment’ Policy

The Centers for Medicare & Medicaid Services (CMS) Oct. 31 issued a final rule that updates physician fee schedule (PFS) payments for calendar year (CY) 2026.
Content
Public

University of Utah Addresses Health and Social Needs for its Most Complex Patients

Patients with complex medical and social needs are often challenging to treat in a traditional medical encounter.
Content
Public

Centering Care around “What Matters” to Patients

Marie Cleary-Fishman, Vice President of Clinical Quality speaks with Amy Berman, Senior Program Officer at The John A. Hartford Foundation and Erin Emery-Tiburcio, Associate Professor of Geriatric & Rehabilitation Psychology and Geriatric Medicine at Rush University Medical Center.
Guides and Reports
Member

Comparison of Care in Hospital Outpatient Departments and Independent Physician Offices 2011-2019

Comparison of care in hospital outpatient departments and independent physician offices: AHA study reveals why actions implemented by the Department of Health and Human Services could threaten access to care.
Guides and Reports
Public

Comparison of Care in Hospital Outpatient Departments and Independent Physician Offices 2019-2024

Site neutral payments may have adverse effects on Medicare patient access to care.
News

CMS proposes increasing payment rates by 2.6% in CY 2025 

The Centers for Medicare & Medicaid Services July 10 issued a proposed rule that would increase Medicare hospital outpatient prospective payment system rates by a net 2.6% in calendar year 2025 compared to 2024. This includes a proposed 3.0% market basket update, offset by a 0.4 percentage point cut for productivity. 
Testimony
Public

AHA Statement to Senate Committee on Aging Hearing on Health Care Services

AHA shares the hospital field’s comments on how to reduce health care costs for seniors.