In the section titled “Reduce hospital outpatient department payment rates for ambulatory surgical center-approved procedures,” HHS states the top recommendation they would like to see implemented is; “Seek legislation that would exempt the reduced expenditures as a result of lower outpatient prospective payment system (OPPS) payment rates from budget neutrality adjustments for ambulatory surgical center (ASC)-approved procedures.”
As of now, the recommendation is not in the presidential budget, and CMS has circulatory concerns because ASC payment rates are based on OPPS payment rates, as well as the lack of clarity on what constitutes risk levels in procedures.
The expected impact of the implementation would be an estimated savings of $15 billion and improved payment efficiency, according to HHS.
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