RevCycle Intelligence April 2, 2021
Jacqueline LaPointe

A new analysis showed that 82% of OPPS hospitals would see net total outpatient payment decreases if HHS reversed significant cuts to 340B drug reimbursement.

Outpatient payments would decrease for the majority of hospitals if HHS reversed a controversial policy reducing 340B drug reimbursement, according to a new Avalere analysis.

The analysis examined complete fee-for-service claims for hospital outpatient departments at 3,454 facilities paid under Medicare’s Outpatient Prospective Payment System (OPPS). The data showed that 82 percent of all OPPS hospitals would see net total payment decreases in 2021 as a result of policy reversal.

The impact of the policy’s reversal would also be greater for rural OPPS hospitals, of which 90 percent would see a net payment decrease.


Today's Sponsors

Teladoc Health

Today's Sponsors

Canton & Company

Today's Sponsor


Topics: CMS, Govt Agencies, Health System / Hospital, HHS, Insurance, Medicaid, Medicare, Provider, Survey / Study, Trends
A “Mohan Nair Interview” with Dr. Susan L. Turney, CEO of Marshfield Clinic Health System
Blog: Health Affairs Article Misses the Mark on Physician-Owned Hospitals
AHA blog: Physician-owned hospitals were restricted for good reason
The Imperative for Integrating Public Health and Health Care Delivery Systems
COVID-19 spurs rise in hospital mega mergers, finds Kaufman Hall