Becker's Healthcare August 13, 2018
Proposed hospital reimbursement changes included in CMS’ Outpatient Prospective Payment System rule for 2019 would generally be credit negative for nonprofit and for-profit hospitals, according to a Moody’s Investors Service report.
Under the proposed rule, CMS would make payments for clinic visits site-neutral by reducing the payment rate for hospital outpatient clinic visits provided at off-campus provider-based departments to 40 percent of the OPPS rate. This change, amid other revenue pressures, would further constrain hospital margins, according to Moody’s.
“Over the years, hospitals have been actively acquiring independent physician practices and subsequently were able to benefit from higher OPPS off-campus PBD rates,” said Moody’s. “Hospitals that...
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