News Headlines Article

OIG presses CMS to cut hospital outpatient payments for low-risk surgeries
Modern Healthcare

HHS‘ Office of the Inspector General is using a congressionally mandated report to repeat its call for Medicare to pay hospitals the same as it pays ambulatory surgery centers for low-risk outpatient procedures.

The policy change could save $15 billion over five years, the OIG estimates, but would require legislation allowing the CMS to cut the rates for low-risk surgeries without having to increase other payment rates to make the policy change budget-neutral as required by law.