A recent announcement from Centers for Medicare & Medicaid Services (CMS) is “undoubtedly materially positive” for Lantheus Holdings (NASDAQ:LNTH) shares, an analyst noted.
The CMS proposed Wednesday Medicare payment rates for hospital outpatient and Ambulatory Surgical Center (ASC) services for 2025.
The proposal is part of the annual Hospital Outpatient Prospective Payment System (OPPS) and ASC Payment System Proposed Rule. A 60-day comment period will remain open until Sept. 9.
The final rule is expected in early November.
Under the OPPS, the costs of diagnostic radiopharmaceuticals are included in the payment for nuclear medicine tests.
While this generally supports efficient care, there are cases where the payment for these tests does not cover the cost of certain specialized radiopharmaceuticals.
To address this, the CMS proposes refining the packaging policy to improve payment accuracy.
Specifically, the agency says it will pay separately for any diagnostic radiopharmaceutical with ...