CMSFinal Rule
Medicare and Medicaid Programs: Calendar Year 2025 Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; etc.; and Appeal Rights for Certain Changes in Patient Status; Corrections and Correcting Amendment
HealthcareFinance & Banking
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Summary
This rule updates how Medicare pays doctors and other healthcare providers for their services in 2025, including changes to payment rates, coverage decisions, and the appeal process for patients whose benefits change. These updates affect millions of seniors and people with disabilities who rely on Medicare, as well as the doctors and hospitals that treat them.
Key Points
- 1Sets new payment rates for doctors and healthcare providers under Medicare for calendar year 2025, which can affect how much patients pay for medical services
- 2Makes changes to which medical treatments and services Medicare will cover, potentially expanding or limiting what procedures seniors and disabled people can access
- 3Updates the appeals process so patients have better rights to challenge decisions when Medicare changes their benefits or coverage status
- 4Includes corrections to previous Medicare payment rules and regulations that were published earlier
- 5Applies to the roughly 68 million people enrolled in Medicare as well as the healthcare providers who serve them
Key Dates
Published
May 16, 2025
This summary is for informational purposes only. It may not capture all nuances of the regulation. Always refer to the official text for authoritative information.
The Digest Network
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