CHA News

CMS Issues CY 2021 OPPS Proposed Rule

For CEOs, CFOs, government relations, quality & patient safety, and finance & reimbursement staff 

The Centers for Medicare & Medicaid Services (CMS) has issued its calendar year (CY) 2021 outpatient prospective payment system (OPPS) proposed rule. In addition to annual payment and quality updates, CMS proposes significant cuts for drugs purchased under the 340B drug savings program, would eliminate the inpatient-only (IPO) list over three years, expand the list of outpatient services subject to prior authorization, and make significant changes to the hospital star ratings methodology.

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