Hospital Outpatient Payment
Expert articles and analysis related to hospital outpatient payment.
AI Summary — Last 7 Days
CMS’ CY 2027 OPPS/ASC proposed rule is drawing a concentrated provider backlash over proposed 340B payment changes, faster repayment mechanics tied to prior 340B cuts, and expanded site-neutral payment policies—moves hospitals argue would intensify margin pressure and reduce cross-subsidization for outpatient access, safety-net services, and care management infrastructure. At the same time, purchasers and policy groups are pushing CMS to go further on site-neutrality and price transparency, underscoring a widening VBC-relevant divide between hospital financial sustainability arguments and payer/ACO priorities around lowering outpatient unit costs and shifting care to more efficient settings. The clearest pattern this week: OPPS is becoming a central battleground for Medicare affordability and delivery-site incentives, with AHA and other provider groups warning against the rule’s 340B and site-neutral provisions while groups such as Arnold Ventures and Brookings press for stronger payment reforms and usable transparency data (AHA comments, Brookings comments).
Related Articles
Hospital groups rail against CMS' proposed 340B changes, site-neutral payments
Hospital groups rail against CMS' proposed 340B changes, site-neutral payments  Fierce Healthcare
Comments on site-neutral payment and price transparency data in CMS' proposed OPPS rule - brookings.edu
Comments on site-neutral payment and price transparency data in CMS' proposed OPPS rule  brookings.edu
Comment Letter on CMS CY 2027 OPPS Proposed Rule
Comment Letter on CMS CY 2027 OPPS Proposed Rule  Arnold Ventures
340B policies in OPPS rule draw hospital concerns
A proposed cut in Medicare payments for 340B drugs and an acceleration in repayments related to a previous 340B cut are leading concerns for some hospitals and health systems. The two 340B policies in...
AHA shares recommendations with CMS on CY 2027 outpatient PPS proposed rule
AHA shares recommendations with CMS on CY 2027 outpatient PPS proposed rule  American Hospital Association
AHA Comments on the CMS’ Hospital Outpatient PPS and ASC Payment System Proposed Rule CY 2027
AHA Comments on the CMS’ Hospital Outpatient PPS and ASC Payment System Proposed Rule CY 2027  American Hospital Association
NABH Comments on CMS CY 27 OPPS Proposed Rule
AMGA Warns 340B Payment Changes Compound Financial Burden - amga.org
AMGA Warns 340B Payment Changes Compound Financial Burden  amga.org
Premier Submit Comments on CY 2027 Medicare Outpatient Payment Proposed Rule
Premier cautioned that several Medicare outpatient policies proposed by CMS for CY 2027 could exacerbate the financial pressures facing hospitals and health systems.