CMS Publishes Proposed Rules for OPPS, ASC and PFS for Calendar Year 2024

The Centers for Medicare & Medicaid Services (“CMS”) has announced its proposed rules for the Hospital Outpatient Prospective Payment (“OPPS”) and Ambulatory Surgical Center (“ASC”) Payment Systems, as well as its calendar year (CY) 2024 proposed Physician Fee Schedule (“PFS”), (collectively the “Proposed Rules”).

The OPPS and ASC proposals focus on expanding access to behavioral health services through coverage of Intensive Outpatient Program Services—an intermediate level of behavioral healthcare—and provide more hospital price transparency. Key initiatives under the PFS for CY 2024 also reflect the Biden-Harris administration’s goal to create a more equitable and accessible healthcare system in the country.

Notable OPPS and ASC Proposals:

Notable CY 2024 Medicare PFS Proposals:

CMS will accept comments on the Proposed Rules through September 11, 2023.  Final rules should be issued in November of 2023.

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National Law Review, Volumess XIII, Number 220