CHA News

CHA DataSuite Releases Analysis of CY 2023 Medicare Outpatient Prospective Payment System Proposed Rule

This post has been archived and contains information that may be out of date.

CHA DataSuite has issued a hospital-specific analysis of the calendar year (CY) 2023 Medicare outpatient prospective payment system proposed rule. 

The analysis is intended to show providers how Medicare outpatient fee-for-service payments will change from CY 2022 to CY 2023 based on the policies set forth in the proposed rule. A detailed summary of the proposed rule is available for CHA members.  
Changes modeled in this analysis include: 

  • Market basket update  
  • Affordable Care Act-mandated market basket adjustment 
  • Budget neutrality adjustments  
  • Wage index (wage data and reclassifications) updates  
  • Application of the imputed floor  
  • Increasing bottom quartile wage index values  
  • A 5% stop loss transition wage index  
  • APC factor/updates 
  • Change in rural adjustment   

Also included are the estimated impacts of two alternatives that the Centers for Medicare & Medicaid Services (CMS) included in the proposed rule:  

  • Removal of the 340B reduction 
  • Use of CY 2020 cost report data 

Comments are due to CMS by Sept. 13 and can be submitted electronically by using the website’s search feature for “1772-P.” 

This content is restricted to members.