CHA News Article

CMS Issues Proposed Rule on Outpatient Prospective Payment System

Today, the Centers for Medicare & Medicaid Services (CMS) issued its proposed rule on the calendar year 2019 outpatient prospective payment system (OPPS). A press release and CMS fact sheet are attached. Most notably, CMS proposes to significantly expand site-neutral payments across the OPPS, physician fee schedule and ambulatory surgery center setting, following previous recommendations from the Medicare Payment Advisory Commission. In addition, CMS proposes to expand the 340B payment policy of average sales price minus 22 percent to all non-excepted, provider-based, off-campus hospital outpatient departments.

CHA is currently reviewing the proposed rule and will share additional information in tomorrow’s CHA News. A detailed summary and DataSuite analysis will be distributed to members in the coming weeks.