Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Ratings; and Hospital Price Transparency

CMS has issued a proposed rule that would update Medicare payment rates for hospital outpatient and ambulatory surgical center services in calendar year 2026, along with revisions to associated quality reporting programs. The proposal also addresses hospital price transparency enforcement and includes requests for information on potential future quality measures covering patient well-being and nutrition. Physical therapists working in hospital outpatient or ASC settings should monitor this rule for changes affecting service payment rates and reporting requirements.

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