The 2025 reimbursement rate updates for Tribally-operated healthcare facilities present a major opportunity to enhance your clinic’s financial health and sustainability. Two key rates have increased this year, providing a chance to optimize revenue and improve care for your community:
Outpatient Per Visit Rate (Medicaid): $801 for the lower 48 states
Outpatient Per Visit Rate (Medicare): $718 for the lower 48 states
These increases represent significant improvements over the 2024 rates and offer clinics the opportunity to reevaluate revenue strategies, strengthen operational processes, and position themselves for growth. With Medicaid and Medicare playing such critical roles in Tribal healthcare, understanding and leveraging these rates is essential to long-term success.
How Blue Stone Strategy Partners Can Help
At Blue Stone Strategy Partners, we understand the importance of these updates and are ready to help your clinic make the most of them. Our team of experts can:
• Analyze the financial impact of these rate increases and adjust operations – maximizing their benefit to your strategic and financial plans
• Provide guidance on identifying additional ways to leverage these increases by investing in expanded services and community care
• Assist with a quick financial analysis to determine if the Medicare IHS rate or the FQHC look-alike rate is the best fit for your clinic and outline the steps necessary to make the change
By taking proactive steps to align your operations with these updated rates, your clinic can not only increase revenue but also ensure financial stability for years to come.
Take Action Today
Blue Stone Strategy Partners is here to help you make the most of these changes. Our team of experts specializes in assisting Tribal healthcare facilities with financial analysis, operational adjustments, and long-term planning.
Contact Us Today:
- Call us: (949) 476-8828
- Email us: info@bluestonestrategy.com
- Schedule a free consultation at the button below