Managed Healthcare Executive November 25, 2019
Earlier this month, CMS released the much anticipated final calendar year (CY) 2020 rule for the Medicare Outpatient Prospective Payment System (OPPS). While many were expecting specific guidance regarding CMS’s controversial proposal for greater hospital pricing transparency regarding privately negotiated rates within the rule—in fact, per the American Hospital Association (AHA), hospitals have already committed resources to complying with the new proposal requirements—the new conditions were noticeably absent. Instead, CMS briefly acknowledged pricing transparency in a few sentences, noting that the agency was still considering the many messages it received regarding the proposed final rule during an open comment period.
Lovisa Gustafson, MBA, assistant vice president at the Commonwealth Fund, says there was a lot of speculation on why the...
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