State Legislative Bills Report
As most state legislatures end their 2025 sessions and look to 2026, ACR staff is looking at how some radiology-specific bills they tracked fared this year.
Read moreThe Centers for Medicare and Medicaid Services (CMS) recently released the federal fiscal year (FY) 2024 Inpatient Prospective Payment System (IPPS) Final Rule, which takes effect Oct. 1. The final rule provides updates for Medicare fee-for-service payment rates and policies for inpatient hospitals and long-term care hospitals for FY 2024. CMS pays acute care for inpatient stays under the IPPS.
The American College of Radiology® (ACR®) compiled a detailed summary of the radiology-related topics included in the rule.
CMS finalized the base IPPS payment update of +3.1%, based on a 3.3% market basket update and the multifactor productivity (MFP) adjustment — CMS estimates a reduction of 0.2%. To increase transparency and improve the efficiency of the New Technology Add-on Payment (NTAP) program, CMS finalized the policy to require NTAP applicants for technologies that are not already U.S. Food and Drug Administration (FDA) market authorized to have a complete and active FDA market authorization application request at the time of submission of their NTAP application. CMS also adopted three new quality measures into the Hospital Inpatient Quality Reporting (IQR) program. One of those measures is relevant to imaging — excessive radiation dose or inadequate image quality for diagnostic computed tomography (CT) in adults.
If you have any questions, contact Kimberly Greck, ACR Senior Economic Policy Analyst.
State Legislative Bills Report
As most state legislatures end their 2025 sessions and look to 2026, ACR staff is looking at how some radiology-specific bills they tracked fared this year.
Read moreMedicare Payment Increase in Final Budget Reconciliation Bill
The bill includes a 2.5% increase to the Medicare Physician Fee Schedule for calendar year 2026.
Read moreCMS Announces Prior Authorization Test Model
WiSer is a six-year program that will begin in six states on January 1, 2026. It will introduce prior authorization using AI technology for a select number of services, including some IR procedures.
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