Jul. 2 at 2:49 PM
$MDXG
Calendar Year 2027 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Proposed Rule (CMS-1850-P) is out.
What that means for Skin Substitutes:
The CY 2027 proposal is largely a "hold year" for skin substitutes:
* No reduction to the
$127.14/cm² group payment rate proposed.
* No new payment methodology.
* ASC separate payment preserved.
* CMS explicitly indicates major rate recalibration will likely wait until CY 2028, once enough CY 2026 claims experience is available.
https://www.cms.gov/newsroom/fact-sheets/calendar-year-2027-hospital-outpatient-prospective-payment-system-opps-ambulatory-surgical-center