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CMS proposes 2.6% hospital outpatient pay bump

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Hospital outpatient departments and ambulatory surgical centers would receive 2.6% reimbursement hikes next year under a proposed rule the Centers for Medicare and Medicaid Services issued Wednesday.


The draft regulation also includes a slew of maternal health and health equity provisions hospitals that participate in Medicare would be required to follow to receive the full pay hike, including policies on treatment and transfer protocols for pregnant patients.


The proposed hospital reimbursement update reflects a projected 3% hospital market basket increase offset by a -0.4% productivity adjustment.


CMS also aims to implement several new health equity measures for hospitals, rural emergency hospitals and ambulatory surgical centers. Hospital outpatient departments and ambulatory surgical centers that don’t meet these standards, which include screening measures for social determinants of health and health equity, would receive a 2% reduction in their annual payment updates.



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