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Policy Brief | Health-Equity-Alliance

HEA Policy Briefing: CY2025 Outpatient Prospective Payment System (OPPS) Final Rule

On November 1, CMS unveiled the final rule for the Calendar Year (CY) 2025 Outpatient Prospective Payment System (OPPS)/Ambulatory Surgical Center (ASC) Payment System. The agency included a number of health equity updates, including new reporting requirements in the Outpatient Quality Reporting Program (OQR) and new Conditions of Participation (CoPs) for hospital obstetrical services.

Click download pdf to get the full details.

What's Inside

  • OQR Program: Mandatory reporting dates for newly added Hospital Commitment to Health Equity, Screening for Social Drivers of Health (SDOH), and Screen Positive Rate for SDOH measures

  • Conditions of Participation (CoP) for OB Services: Details on the phased implementation timeline and specific health equity considerations in requirements for quality assessment and performance improvement (QAPI) programs and OB staff training