CHA News

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

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.