Outpatient Prospective Payment Systems (OPPS)

The Centers for Medicare & Medicaid Services today proposed to update hospital outpatient prospective payment system rates by 1.25% in calendar year 2019 compared to CY 2018.
Plaintiffs’ notice of supplemental authority (ECF No. 78) asserts that HHS could reduce the Medicare appeals backlog by agreeing to toll the purported deadline for hospitals to file appeals related to the 340B Drug Discount Program pending the resolution of American Hospital Association v. Azar, No…
Plaintiffs-Appellants, three hospital associations and three hospital systems, move to expedite this appeal from an order dismissing Appellants' complaint and denying a preliminary injunction that would have suspended implementation on January 1, 2018, of a new HHS rule drastically reducing payment…
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Outpatient PPS

The Centers for Medicare & Medicaid Services (CMS) July 13 released its calendar year (CY) 2024 outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) proposed rule that would increase OPPS rates by a net 2.8% in CY 2024 compared to CY 2023. The rule also includes…
For 25 years, the 340B drug savings program, at no cost to the government, has enabled eligible hospitals to purchase certain outpatient drugs from pharmaceutical manufacturers at discounted prices. This allows the participating hospitals to use the savings from the discounts to provide an expanded…
A bipartisan group of six senators yesterday urged Senate leadership to include in a year-end package, legislation that would prevent a dramatic reduction in Medicare Part B payments for certain hospitals that participate in the 340B drug savings program. The Centers for Medicare & Medicaid…
The CY 2018 Outpatient Prospective Payment System Final Rule: What You Need to Know Dec. 4th @ 2:00pm ET
  Members-Only Webinar The CY 2018 Outpatient Prospective Payment System Final Rule: What You Need to Know Held December 4, 2017