The Centers for Medicare & Medicaid Services has proposed a 2.4% increase in Medicare outpatient payments for both hospital services and ambulatory surgery centers for 2026. This proposed bump reflects a market basket update, adjusted for productivity. Additionally, the proposal introduces distinct conversion factors for physician payments: $33.59 for those in alternative payment models and $33.42 for those outside these arrangements, promoting value-based care. Provider groups express concerns regarding long-term benefits despite the increases, particularly regarding temporary adjustments.
CMS proposed a 2.4% increase in Medicare payments for hospital outpatient services and ambulatory surgery centers, reflecting a market basket update and productivity adjustment.
The proposal introduces two distinct conversion factors for physician payments based on participation in alternative payment models, with increases of 3.8% and 3.6% respectively.
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