On Nov. 1, the Centers for Medicare & Medicaid Services (CMS) released the 2025 MPFS final rule. CMS finalized a calendar year (CY) 2025 PFS conversion factor of $32.35, representing a 2.83% decrease (or $0.94) from the current conversion factor. This cut is a result of the expiration of a 2.93% temporary update to the conversion factor at the end of 2024 and a 0% baseline update for 2025 under the Medicare Access and Children’s Health Insurance Program (CHIP) Reauthorization Act. Eligible physicians who fail to comply with the requirements of the Merit-based Incentive Payment System (MIPS) in 2025 will also be subject to a penalty of up to 9% of their Part B Medicare payments. The AANS and the CNS provided detailed comments on the CMS 2025 MPFS proposed rule on Sept. 9. A summary of issues of interest to neurosurgeons prepared by AANS/CNS Washington Office staff is available here.
Additional resources on the final rule from CMS are provided below:
- CY 2025 MPFS Final Rule: Link
- MPFS Press Release: Link
- MPFS Fact Sheet: Link
- Quality Payment Program (QPP) Fact Sheet: Link (to download)
- 2025 Finalized Merit-Based Incentive Payment System (MIPS) Value Pathways (MVPs): Link (to download)
- Medicare Shared Savings Program (MSSP) Fact Sheet: Link
- Medicare Prescription Drug Inflation Rebate Program: Link
