CMS proposes 2018 policy and rate changes for hospital outpatient, ASC payment systems

A proposed new rule from CMS updates payment rates and policy changes in the Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System. "CMS is committed to transforming the Medicare program and updating our policies to provide high-quality and affordable patient-centered care.

A proposed new rule from CMS updates payment rates and policy changes in the Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System. "CMS is committed to transforming the Medicare program and updating our policies to provide high-quality and affordable patient-centered care. These changes require innovative strategies, and we look forward to receiving stakeholder comment and incorporating new ideas in our final rule this fall," said CMS Administrator Seema Verma. "Additionally, the proposed rule takes a critical step towards fulfilling President Trump's promise to lower the cost of drugs, particularly for Medicare beneficiaries." Under the rule, CMS is proposing to change the payment rate for some Medicare Part B drugs purchased by hospitals through the 340B program. Additionally, the proposed rule requests comment on how CMS can best implement the proposal to pass savings on to beneficiaries and providers, and to allow older adults to save money on their medication costs. The OPPS and ASC payment system are updated each year to include changes to payment policies, payment rates, and quality provisions for those Medicare patients who receive care at hospital outpatient departments or receive care at ASCs.