Saturday, October 31, 2015

Medicare Publishes OPPS, PFS Final Rules (October 30, 2015)

On October 30, 2015, Medicare published "final rules with comment" for both the OPPS and PFS payment systems.   OPPS, PFS, Medicaid services adequacy, and ESRD rules after the break.


The OPPS final rule is here.   (Pre publication view here...1221 pages).
The PFS final rule is here.  (Pre publication view here...1358 pages).

For the OPPS rule, numerous additional zip files of addenda and excel spreadsheets are here.

On a separate note, a final rule about Medicaid adequacy - "whether Medicaid payments are sufficient to enlist providers to assure beneficiary access to covered care and services consistent with section 1902(a)(30)(A) of the Social Security Act"... is here.

On another separate note, a final rule about updates to the ESRD program and its quality incentives is here.