Cuts, Clawbacks, and Courtrooms: Inside the CY 2027 Outpatient Rule

CMS rule cuts overall oncology payments by estimated 2% Final rule slashes 340B, moves toward site-neutrality

The Centers for Medicare and Medicaid Services last week published the long-awaited—or long-dreaded—final rule governing Medicare reimbursement of the Hospital Outpatient Prospective Payment System. This content is for Individual Subscription - Monthly ($55), Individual Subscription - Annual ($555), Introductory Subscription - non-renewing ($60), Group 1 - Individual Seat, and Sponsored account members only. Visit the […]

Cuts, Clawbacks, and Courtrooms: Inside the CY 2027 Outpatient Rule

The Centers for Medicare & Medicaid Services (CMS) finalized its Outpatient Prospective Payment System (OPPS) rule for the 2027 calendar year (CY). At first glance, hospitals get a raise. Look more closely, though, and the rule takes back a large share with the other hand. We’ll start with the good news. Hospitals that meet quality […]

CMS Finalizes CY 2027 ASC Rule: More Covered Procedures, Lower Rates for Common Services

On November 4, 2026, the Centers for Medicare & Medicaid Services (“CMS”) issued the Calendar Year (“CY”) 2027 Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center (“ASC”) Payment System final rule (the “Final Rule”), following the July 2, 2026, proposed rule and the public comment period. The Final Rule increases average payment rates for... Continue Reading