--- title: CMS FFY 2027 Outpatient PPS Proposed Rule description: The Proposed Rule for the Outpatient Prospective Payment System went on public display July 2nd and was published July 7, 2026. image: https://public.govdataservices.com/hubfs/Closeup%20of%20form%20being%20filled.jpeg --- [Skip to content](https://public.govdataservices.com/the-scoop/cms-ffy-2027-outpatient-pps-proposed-rule#main-content) Close - [Services](https://public.govdataservices.com/services-page) - [Medicare DSH](https://public.govdataservices.com/medicare-dsh) - [SSI Realignment](https://govdataservices-21378692.hs-sites.com/medicare-dsh#SSI) - [340B MA Underpayments](https://public.govdataservices.com/340b-medicare-advantage-underpayments) - [Medicare Bad Debt](https://public.govdataservices.com/medicare-bad-debt) - [Worksheet S-10 Uncompensated Care](https://public.govdataservices.com/s-10) - [Transfer DRG](https://public.govdataservices.com/transfer-drg) - [Medicare ID & Shadow Billing](https://public.govdataservices.com/medicare-id-shadow-billing) - [MBI ID Finder](https://public.govdataservices.com/mbi-id-finder) - [MIDaS Insurance ID](https://public.govdataservices.com/midas-insurance-id) - [Annual Wellness Visit](https://public.govdataservices.com/annual-wellness-visit) - [Eligibility & Other Services](https://public.govdataservices.com/eligibility-and-other) - [Bundle & Save](https://public.govdataservices.com/bundle-and-save) - [Demo](https://public.govdataservices.com/demo-diagnostics-review) - Resources - [Links](https://public.govdataservices.com/links) - [Blog](https://public.govdataservices.com/the-scoop) - [Contact Us](https://public.govdataservices.com/contact-us) SEARCH [Client Login](https://www.govdataservices.com/gdswebsite/DesktopDefault.aspx) [![GDSlogo\_avenir\_2](https://public.govdataservices.com/hs-fs/hubfs/GDSlogo_avenir_2.png?width=1194&height=340&name=GDSlogo_avenir_2.png)](https://public.govdataservices.com/) - [Services](https://public.govdataservices.com/services-page) - [Medicare DSH](https://public.govdataservices.com/medicare-dsh) - [SSI Realignment](https://govdataservices-21378692.hs-sites.com/medicare-dsh#SSI) - [340B MA Underpayments](https://public.govdataservices.com/340b-medicare-advantage-underpayments) - [Medicare Bad Debt](https://public.govdataservices.com/medicare-bad-debt) - [Worksheet S-10 Uncompensated Care](https://public.govdataservices.com/s-10) - [Transfer DRG](https://public.govdataservices.com/transfer-drg) - [Medicare ID & Shadow Billing](https://public.govdataservices.com/medicare-id-shadow-billing) - [MBI ID Finder](https://public.govdataservices.com/mbi-id-finder) - [MIDaS Insurance ID](https://public.govdataservices.com/midas-insurance-id) - [Annual Wellness Visit](https://public.govdataservices.com/annual-wellness-visit) - [Eligibility & Other Services](https://public.govdataservices.com/eligibility-and-other) - [Bundle & Save](https://public.govdataservices.com/bundle-and-save) - [Demo](https://public.govdataservices.com/demo-diagnostics-review) - Resources - [Links](https://public.govdataservices.com/links) - [Blog](https://public.govdataservices.com/the-scoop) - [Contact Us](https://public.govdataservices.com/contact-us) [Client Login](https://www.govdataservices.com/gdswebsite/DesktopDefault.aspx) [Chris Cusimano](https://public.govdataservices.com/the-scoop/author/chris-cusimano) Jul 7, 2026, 10:10:48 AM 1 min read # CMS FFY 2027 Outpatient PPS Proposed Rule [Previous](https://public.govdataservices.com/the-scoop/medicare-advantage-340b-underpayment-settlements-what-the-public-record-reveals) [Next](https://public.govdataservices.com/the-scoop/medicare-advantage-340b-underpayment-new-york-settlement-in-principle-reached)  The Proposed Rule for the Outpatient Prospective Payment System went on public display July 2nd and was published July 7, 2026 and features:   - A new 340B drug payment methodology based on acquisition cost survey data - A substantially larger 340B remedy offset (3%) - Continued migration of procedures out of the inpatient setting - Expanded prior authorization - Increased scrutiny of off-campus provider-based departments - A renewed push toward standardized hospital price transparency   Hospitals should model the proposal now to seek a competitive advantage. Quick Highlights:   - +2.4% OPPS payment and ASC payment update for outpatient departments - ASP minus 33.4% proposed payment rate for 340B-acquired drugs - 340B remedy offset increases from 0.5% to 3.0% for applicable hospitals - Estimated 8.44% increase in non-drug OPPS payments for budget neutrality - 637 procedures proposed for removal from the Inpatient Only (IPO) List - No proposed changes to the Rural Emergency Hospital Quality Reporting Program - New payment proposal affecting certain imaging services furnished in excepted off-campus provider-based departments   Comments are due by August 31, 2026 and the Proposed Rule can be found by [clicking here](https://www.federalregister.gov/documents/2026/07/07/2026-13656/medicare-program-hospital-outpatient-prospective-payment-and-ambulatory-surgical-center-payment).   ![avatar](https://public.govdataservices.com/hs-fs/hubfs/chriscusimano.jpg?width=290&name=chriscusimano.jpg) #### [Chris Cusimano](https://public.govdataservices.com/the-scoop/author/chris-cusimano) ## RELATED ARTICLES ### [Chris Cusimano Aug 1, 2025, 3:17:10 PM 2 min read FFY 2026 IPPS Final Rule on Public Inspection On July 31, 2025, CMS released the FFY 2026 Inpatient Prospective Payment System Final Rule (CMS-1833-F). Start Reading](https://public.govdataservices.com/the-scoop/ffy-2026-ipps-final-rule-on-public-inspection) ### [Chris Cusimano Apr 11, 2024, 4:03:00 PM \< 1 min read FFY 2025 IPPS Proposed Rule on Display Today - Scheduled To Be Published 5/2/2024 CMS has put the FFY 2025 IPPS / LTCH Proposed Rule on display. The rule is scheduled to be published May 2, 2024. Start Reading](https://public.govdataservices.com/the-scoop/ffy-2025-ipps-proposed-rule-on-display-today) ### [Chris Cusimano Aug 2, 2024, 11:43:35 AM 1 min read CMS FFY 2025 Psychiatric Final Rule On July 31, 2024, CMS released the FFY 2025 Inpatient Psychiatric Facilities (IPF) Prospective Payment System and Quality ... Start Reading](https://public.govdataservices.com/the-scoop/cms-ffy-2025-psychiatric-final-rule) [![gds-logo-1](https://public.govdataservices.com/hs-fs/hubfs/gds-logo-1.png?width=500&height=150&name=gds-logo-1.png)](https://public.govdataservices.com/) **Get in Touch** Government Data Services 3200 W. 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All rights reserved - [Site Use Agreement](https://public.govdataservices.com/terms-of-use) - [Confidentiality and Privacy](https://public.govdataservices.com/privacy) ```json { "@context" : "http://schema.org", "@type" : "Organization", "knowsLanguage" : "en", "name" : "", "url" : "https://public.govdataservices.com/the-scoop/cms-ffy-2027-outpatient-pps-proposed-rule" } ``` ```json { "@context" : "http://schema.org", "@type" : "BlogPosting", "abstract" : "The Proposed Rule for the Outpatient Prospective Payment System went on public display July 2nd and was published July 7, 2026.", "author" : { "@type" : "Person", "name" : "Chris Cusimano" }, "dateModified" : "July 7, 2026 2 PM", "datePublished" : "July 7, 2026 2 PM", "headline" : "CMS FFY 2027 Outpatient PPS Proposed Rule", "image" : "https://21378692.fs1.hubspotusercontent-na1.net/hubfs/21378692/Closeup%20of%20form%20being%20filled.jpeg", "inLanguage" : "en", "keywords" : "[Legal News, Medicare Cost Report]", "mainEntityOfPage" : { "@type" : "WebPage" }, "name" : "CMS FFY 2027 Outpatient PPS Proposed Rule", "publisher" : { "@type" : "Organization", "logo" : { "@type" : "ImageObject", "url" : "" }, "name" : "" }, "text" : "The Proposed Rule for the Outpatient Prospective Payment System went on public display July 2nd and was published July 7, 2026 and features: A new 340B drug payment methodology based on acquisition cost survey data A substantially larger 340B remedy offset (3%) Continued migration of procedures out of the inpatient setting Expanded prior authorization Increased scrutiny of off-campus provider-based departments A renewed push toward standardized hospital price transparency Hospitals should model the proposal now to seek a competitive advantage. Quick Highlights: +2.4% OPPS payment and ASC payment update for outpatient departments ASP minus 33.4% proposed payment rate for 340B-acquired drugs 340B remedy offset increases from 0.5% to 3.0% for applicable hospitals Estimated 8.44% increase in non-drug OPPS payments for budget neutrality 637 procedures proposed for removal from the Inpatient Only (IPO) List No proposed changes to the Rural Emergency Hospital Quality Reporting Program New payment proposal affecting certain imaging services furnished in excepted off-campus provider-based departments Comments are due by August 31, 2026 and the Proposed Rule can be found by clicking here.", "url" : "https://public.govdataservices.com/the-scoop/cms-ffy-2027-outpatient-pps-proposed-rule", "wordCount" : "351" } ``` ```json { "@context" : "https://schema.org", "@type" : "BlogPosting", "author" : { "@type" : "Person", "name" : "Chris Cusimano", "url" : "https://public.govdataservices.com/the-scoop/author/chris-cusimano" }, "dateModified" : "2026-07-07T14:11:31.824Z", "datePublished" : "2026-07-07T14:10:48.000Z", "headline" : "CMS FFY 2027 Outpatient PPS Proposed Rule", "image" : [ "https://public.govdataservices.com/hubfs/Closeup%20of%20form%20being%20filled.jpeg" ], "mainEntityOfPage" : { "@id" : "https://public.govdataservices.com/the-scoop/cms-ffy-2027-outpatient-pps-proposed-rule", "@type" : "WebPage" }, "publisher" : { "@type" : "Organization", "logo" : { "@type" : "ImageObject" } } } ```