Calendar Year 2026 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center Final Rule (CMS-1834-FC)
Link
Description
Fact sheet providing an overview of the Centers for
Medicare & Medicaid Services (CMS) final rule regarding
updates and changes to the Medicare payments for hospital
outpatient and Ambulatory Surgical Center (ASC) services
for calendar year 2026. Summarizes provisions regarding
changes to hospital price transparency; Intensive
Outpatient Program (IOP) and partial hospital program rate
setting; updates to the Hospital Outpatient Quality
Reporting (OQR), Ambulatory Surgical Center Quality
Reporting (ASCQR), and Rural Emergency Hospital Quality
Reporting (REHQR) Programs; hospital quality start ratings;
and more.
Date
11/2025
Organization
Centers for Medicare and Medicaid Services
Tagged as
Behavioral health
· Healthcare quality
· Hospitals
· Legislation and regulations
· Medicare
· Outpatient care
· Reimbursement and payment models