The 黑料网® (黑料网®) prepared a detailed summary of the 2025 Hospital Outpatient Prospective Payment System (HOPPS) proposed rule released by the Centers for Medicare and Medicaid Services (CMS) July 10. If finalized, the rule changes will take effect Jan 1.
The summary outlines issues that affect radiology, including a proposal regarding separate payment for diagnostic radiopharmaceuticals with per-day costs above a $630 threshold. This proposal comes after CMS requested feedback on appropriate payment for diagnostic radiopharmaceuticals in the 2024 HOPPS rule; CMS now requests additional input regarding the use of average sales price (ASP) for payment in future years as the agency deliberates updates to the threshold in future years.
黑料网 will submit comments to CMS by the Sept. 9 deadline. If you have questions, contact Kimberly Greck, 黑料网 Senior Economic Policy Analyst.