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Capping Medicare Copay Fees for ASC Procedures
On this week’s audio update, ASCA Director of Government Affairs Stephen Abresch discusses new federal legislation that would substantially benefit ASCs and their Medicare patients. Currently, when a Medicare beneficiary receives treatment in an ASC, they are responsible for 20 percent of their cost of care, with no limit on the amount of their copay. However, when a Medicare beneficiary receives identical care in a hospital outpatient department, their copay is capped at the hospital inpatient deductible amount, which is $1,676 for 2025. As a result, Medicare patients treated in an ASC face higher copays for approximately 183 procedures. Tune in and learn how this ASCA-backed legislation could remedy this inequity for both ASCs and Medicare beneficiaries.
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By Ambulatory Surgery Center Association (ASCA)On this week’s audio update, ASCA Director of Government Affairs Stephen Abresch discusses new federal legislation that would substantially benefit ASCs and their Medicare patients. Currently, when a Medicare beneficiary receives treatment in an ASC, they are responsible for 20 percent of their cost of care, with no limit on the amount of their copay. However, when a Medicare beneficiary receives identical care in a hospital outpatient department, their copay is capped at the hospital inpatient deductible amount, which is $1,676 for 2025. As a result, Medicare patients treated in an ASC face higher copays for approximately 183 procedures. Tune in and learn how this ASCA-backed legislation could remedy this inequity for both ASCs and Medicare beneficiaries.