On July 19th, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule regarding the Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System for calendar year (CY) 2022, including proposals regarding:
- Hospital OPPS payment, including maintaining current 340B drug payment levels and reverting the Inpatient Only (IOP) list;
- ASC payment, including reverting the ASC Covered Procedures List (CPL);
- Hospital price transparency requirements;
- Minor changes to the Quality Reporting Program;
- A request for information on the definition of Rural Emergency Hospitals;
- A request for comment on the continuation of COVID-19 policies; and
- Changes to the Radiation Oncology model.
SPG’s summary of several major provisions of the proposed rule is attached. The full text of the proposed rule is available here. CMS will accept comments on the proposed rule until September 17th. The final rule with comment period will be released in early November.