Reviewing the CY 2023 Medicare Outpatient Proposed Rule and New Rural Emergency Hospital Designation

The Centers for Medicare & Medicaid Services (CMS) recently released the CY 2023 Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Proposed Rule. The rule proposes several changes to outpatient Medicare payment policy and quality programs, including addressing 340B discount drug payments and adjusting payments for domestically-produced N95s.

Additionally, CMS recently released a proposed rule implementing the requirements and conditions of participation for Rural Emergency Hospitals (REHs). This new Medicare provider designation will allow critical access hospitals and certain small rural hospitals to convert to a REH and furnish emergency department services, observation care, and other certain outpatient services, beginning on Jan. 1, 2023.

Watch this on-demand webinar to learn more about these new payment and quality policies health systems could face starting in CY 2023.

Topics of discussion include, but are not limited to:

  • Payment updates
  • 340B payment policy
  • Inpatient and outpatient payment adjustments for domestically-produced N95s
  • Behavioral health services
  • Hospital Outpatient Quality Reporting (OQR) Program
  • Rural Emergency Hospitals


Mason Ingram
Director, Payer Policy, Premier

Melissa Medeiros
Director, Payment Policy & Analysis, Premier


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