Prospective Payment System

Medicare Outpatient Expenditures Estimated to Grow $6.5B

The calendar year 2023 Outpatient Prospective Payment System (OPPS) final rule, issued Nov. 1, 2022, by the Centers for Medicare and Medicaid Services estimates that Medicare expenditures under OPPS will increase by $6.5 billion, relative to estimated current year payments, based on changes in the final rule. Key provisions are:  

CHA Issues Summaries of FFY 2023 IPPS and LTCH PPS Final Rule

CHA has issued comprehensive summaries of the federal fiscal year (FFY) 2023 inpatient prospective payment system (IPPS) and long-term care hospital (LTCH) PPS final rules. The policy and payment provisions in the final rules are effective for FFY 2023 discharges, beginning Oct. 1. 

CHA Comments on OPPS Proposed Rule

CHA submitted comments on the calendar year (CY) 2023 outpatient prospective payment system (OPPS) proposed rule. In the letter, CHA raises concerns about the inadequate proposed market basket update and asks CMS to use alternative sources of data that better reflect input price inflation experienced by providers to calculate the CY 2023 market basket update. […]