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Skilled Nursing Facility PPS
The Centers for Medicare & Medicaid Services (CMS) July 31 issued its fiscal year (FY) 2026 final rule for the skilled nursing facility (SNF) prospective payment system (PPS).
Home Health PPS
The Centers for Medicare & Medicaid Services (CMS) Nov. 28 issued its calendar year (CY) 2026 final rule for the home health (HH) prospective payment system (PPS).
CMS Issues Hospital Outpatient, Ambulatory Surgical Center Final Rule for CY 2026
The Centers for Medicare & Medicaid Services Nov. 21 released its calendar year 2026 outpatient prospective payment system and ambulatory surgical center final rule. The rule increases OPPS rates by a net 2.6% in CY 2026 compared to CY 2025.
CMS Releases CY 2026 Home Health PPS Final Rule
The home health prospective payment system final rule for calendar year 2026 will reduce payments by 1.3%, or $220 million relative to CY 2025, according to the Centers for Medicare & Medicaid Services.
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.
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.
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.