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It's strange that everyone on health policy twitter is not going apes over the Hospital Outpatient Prospective Payment System (#OPPS) rule released today
It contains one hugely significant proposal that hospitals will fight bitterly...but could actually help them in the long run
It contains one hugely significant proposal that hospitals will fight bitterly...but could actually help them in the long run
Background- there are two different CMS payment systems for historic/operational reasons, one for professional services, and the other for hospital outpatient depts.
Up until now, there had never been an effort to make sure that equivalent services would have same payment rate.
Up until now, there had never been an effort to make sure that equivalent services would have same payment rate.
In fact, the same procedure paid for in hospital OPD setting ended up being reimbursed at a much higher rate than the exact same procedure at a doctor’s office.
Here’s how @MartinSGaynor and Paul Ginsburg and I described it in our “Making Markets Work” White Paper
Here’s how @MartinSGaynor and Paul Ginsburg and I described it in our “Making Markets Work” White Paper
