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-1834-P
Summary
This proposed rule updates how Medicare and Medicaid pay hospitals and surgical centers, and requires these facilities to publicly report quality ratings and prices so patients can make informed choices. The changes aim to improve transparency and help people understand the quality and cost of their healthcare before receiving treatment.
Key Points
- 1Hospitals must display their quality ratings and pricing information publicly so patients can compare costs and quality before choosing where to receive care
- 2Medicare and Medicaid will adjust how much they pay hospitals and outpatient surgical centers based on a new formula that affects reimbursement starting in the next fiscal year
- 3Hospitals will be required to report more detailed quality and performance data to help track how well they treat patients and control infections
- 4The rule gives the public until September 16, 2025 to submit comments about these changes before they become final
- 5These changes affect millions of Americans who use hospital and surgical services covered by Medicare, Medicaid, and other insurance plans
Key Dates
July 17, 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.
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