{"id":3179,"date":"2017-11-03T06:20:01","date_gmt":"2017-11-03T06:20:01","guid":{"rendered":"http:\/\/www.saince.com\/?p=3179"},"modified":"2023-04-28T09:42:03","modified_gmt":"2023-04-28T13:42:03","slug":"hospital-opps-asc-payment-system-quality-reporting-programs-changes-2018","status":"publish","type":"post","link":"https:\/\/www.saince.com\/blog\/hospital-opps-asc-payment-system-quality-reporting-programs-changes-2018\/","title":{"rendered":"Hospital OPPS and ASC Payment System and Quality Reporting Programs Changes for 2018"},"content":{"rendered":"<p class=\"gdp\" style=\"margin: 12.0pt 0in 12.0pt 0in\"><span style=\"font-size: 10.5pt;font-family: 'Arial',sans-serif;color: black\">On November 1, CMS issued the CY 2018 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System final rule with comment period, which includes updates to the 2018 rates and quality provisions and other policy changes. CMS adopted a number of policies that will support care delivery; reduce burdens for health care providers, especially in rural areas; lower beneficiary out of pocket drug costs for certain drugs; enhance the patient-doctor relationship; and promote flexibility in healthcare.<\/span><\/p>\n<p class=\"gdp\" style=\"margin: 12.0pt 0in 12.0pt 0in\"><span style=\"font-size: 10.5pt;font-family: 'Arial',sans-serif;color: black\">CMS is increasing the OPPS payment rates by 1.35 percent for 2018. The change is based on the hospital market basket increase of 2.7 percent minus both a 0.6 percentage point adjustment for multi-factor productivity and a 0.75 percentage point adjustment required by law. After considering all other policy changes under the final rule, including estimated spending for pass-through payments, CMS estimates an overall impact of 1.4 percent payment increase for providers paid under the OPPS in CY 2018.<\/span><\/p>\n<p class=\"gdp\" style=\"margin: 12.0pt 0in 12.0pt 0in\"><span style=\"font-size: 10.5pt;font-family: 'Arial',sans-serif;color: black\">CMS updates ASC payments annually by the percentage increase in the Consumer Price Index for all urban consumers (CPI-U).\u00a0The Medicare statute specifies a Multi-Factor Productivity (MFP) adjustment to the ASC annual update.\u00a0For CY 2018, the CPI-U update is 1.7 percent.\u00a0The MFP adjustment is 0.5 percent, resulting in a CY 2018 MFP-adjusted CPI-U update factor of 1.2 percent.\u00a0Including enrollment, case-mix, and utilization changes, total ASC payments are projected to increase approximately 3 percent in 2018.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>On November 1, CMS issued the CY 2018 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System final rule with comment period, which includes updates to the 2018 rates and quality provisions and other policy changes. CMS adopted a number of policies that will support care delivery; reduce burdens for health [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[29,30,35,31],"tags":[],"class_list":["post-3179","post","type-post","status-publish","format-standard","hentry","category-clinical-documentation","category-clinical-documentation-improvement","category-ehr","category-healthcare"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.13 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Hospital OPPS and ASC Payment System and Quality Reporting Programs Changes for 2018 -<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.saince.com\/blog\/hospital-opps-asc-payment-system-quality-reporting-programs-changes-2018\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Hospital OPPS and ASC Payment System and Quality Reporting Programs Changes for 2018 -\" \/>\n<meta property=\"og:description\" content=\"On November 1, CMS issued the CY 2018 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System final rule with comment period, which includes updates to the 2018 rates and quality provisions and other policy changes. 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