HHSProposed Rule
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
HealthcareFinance & Banking
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Summary
This regulation updates how Medicare and Medicaid pay hospitals for outpatient services and surgery centers, while requiring hospitals to publicly report quality ratings and price information. The changes aim to make healthcare costs more transparent and help patients compare hospital quality and prices when making healthcare decisions.
Key Points
- 1Hospitals must display their prices online so patients can see what procedures cost before receiving treatment
- 2The government will create star ratings for hospitals based on quality measures, similar to how restaurants get star ratings, to help patients choose better-performing facilities
- 3How much Medicare and Medicaid reimburse hospitals for outpatient procedures and surgery centers may change under new payment formulas
- 4Hospitals must report detailed quality data about patient outcomes and safety to the government for public review
- 5These changes apply to thousands of hospitals and ambulatory surgery centers across the country that receive Medicare and Medicaid funding
Key Dates
Published
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.
The Digest Network
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