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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.
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.
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.
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.
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.
CMS Issues CY 2026 Physician Fee Schedule Final Rule
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.
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.
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.
AHA Comments on CMS CY 2026 Outpatient, ASC Proposed Payment Rule
RE: CMS–1832–P Medicare and Medicaid Programs; Calendar Year 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program