CY 2027 Proposed Rules: OPPS, Home Health, and ESRD Updates

CMS has released Calendar Year 2027 proposed rules affecting hospital outpatient departments, ambulatory surgical centers, home health agencies, end-stage renal disease facilities, off-campus provider-based departments, and Medicare providers and suppliers more broadly. In this episode of PYA's Healthcare Regulatory Roundup, Kathy Reep and Carine Leslie review the proposed payment, quality, enrollment, and operational changes that warrant closer attention.

The discussion covers the OPPS payment update, the proposed phaseout of the inpatient-only list, possible additions to the ASC covered procedures list, 340B drug payment changes, expanded site-neutral payments, off-campus department attestations and NPIs, price transparency, ESRD payment and quality measures, home health PDGM and budget-neutrality adjustments, faster quality reporting timelines, and proposed Medicare enrollment and revocation policies. The presenters emphasize the importance of modeling organization-specific impacts and submitting comments before the applicable deadlines.