TCG Health Policy Spotlight: Proposed CY27 HOPD and ASC Payment Rule

On July 2, the Centers for Medicare and Medicaid Services (CMS) released the Calendar Year 2027 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Proposed Rule. In addition to the annual payment update, the rule proposes significant changes to what Medicare pays for 340B drugs and the 340B repayment adjustment, an expansion of site neutral policies, and outlines requests for information on hospital price transparency provisions and other topics. For more details, see TCG’s 5 Things to Know about the proposed rule, here.

Go deeper: The text of the proposed rule can be found here; CMS’ press release can be found here; and a fact sheet on the proposed rule can be found here.

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