United States of Care Responds to 2025 Hospital Outpatient Prospective Payment System Proposed Rule

On September 9, 2024, United States of Care (USofCare) submitted a response to a proposed rule from the Centers for Medicare & Medicaid Services (CMS) entitled “CY 2025 Hospital Outpatient PPS Policy Changes and Payment Rates and Ambulatory Surgical Center Payment System Policy Changes and Payment Rates (CMS-1809),” also known as the 2025 OPPS proposed rule.

USofCare’s comments focus on the provisions within the proposed rule seeking to promote health equity and further access to coverage, as well as the proposal to set maternity care standards through hospital Conditions of Participation (CoP). USofCare is disappointed that the proposed rule does not build on previous policymaking efforts to institute hospital price transparency and site-neutral payment reform policies. We encourage that CMS adopt these policies in the finalized OPPS rule in order to protect patients from the ongoing health care affordability crisis.

USofCare appreciates the opportunity to respond to the proposed rule.