CMS has released the OPPS proposed rule for Calendar Year 2021. The published version is scheduled to be posted in the Federal Register on August 12th. Below are three highlights from the proposed rule; stay tuned for a full rule summary.

  • Gradual elimination of the Inpatient Only list over the course of three years, beginning in CY 2021.
  • Additional payment cuts to the 340B program, paying for drugs acquired at Average Sales Price minus 28.7%.
  • Continued site-neutral payment provisions, particularly site-neutral payments for clinic visits.

Open document to read more; page 5.

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