The Centers for Medicare & Medicaid Services (CMS) issued its annual proposed rule related to the Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems (HOPPS) (the HOPPS Proposed Rule) on August 12, 2020. Comments on the HOPPS Proposed Rule are due to CMS no later than October 5, 2020.
CMS also released its annual proposed rule setting forth Payment Policies under the Physician Fee Schedule (PFS) and Medicare Part B (the PFS Proposed Rule) on August 17, 2020. Comments on the PFS Proposed Rule are also due to CMS no later than October 5, 2020.
This alert summarizes proposed changes that are most relevant to pharmaceutical and device manufacturers and other participants in the supply chain.
Payment for Drugs, Biologicals, and Radiopharmaceuticals
Scope of Practice Issues
Home Infusion Therapy
CMS Proposes Some NDA Products May No Longer be Reimbursed as Single Source Under Their Own J Code
Members of the industry should take advantage of the public comment periods associated with these proposed rules.