Comparison of Proposed 2027 OPPS Addendum A with July 2026 Addendum A
HFMA provides a spreadsheet comparing relative weights and payment rates at the APC level, using the 2027 OPPS proposed rule Addendum A compared to 2026 Addendum A.
Comparison of Proposed 2027 ASC Addendum BB to 2026 Addendum BB
This spreadsheet compares ASC covered ancillary services integral to covered surgical procedures, using 2027 proposed rule Addendum BB compared to 2026 Addendum BB.
Comparison of Proposed 2027 ASC Addendum AA to 2026 Addendum AA
This spreadsheet compares relative weights and payment rates for ASC covered surgical procedures at the HCPCS level, using the 2027 proposed rule Addendum AA compared to 2026 Addendum AA.
CY 2027 OPPS/ASC Proposed Rule Summary
HFMA presents a detailed summary of the proposed rule published by CMS on July 7, 2026, updating OPPS payment policies that apply to outpatient services provided to Medicare beneficiaries.
CY 2027 Home Health Prospective Payment System Proposed Rule Summary
HFMA presents a detailed summary of the proposed rule that would update the payment rates for home health agencies for calendar year 2027.
Medicare Drug Price Negotiation Program Proposed Rule Summary
HFMA provides a detailed summary of the proposed rule to codify the Medicare Drug Price Negotiation Program (“Negotiation Program”) and establish certain new policies for the Negotiation Program and the Medicare Prescription Drug Benefit Program as required by the Inflation Reduction Act of 2022 (IRA, P.L. 117-169).
Medicaid Managed Care State Directed Payments and FFS Targeted Medicaid Practitioner Payments Proposed Rule Summary
HFMA provides a detailed summary of the rule that includes proposals to implement the provisions of the “Working Families Tax Cut” legislation, which modify the limit on the total payment rate and other requirements for State directed payments (SDPs) in Medicaid managed care with respect to certain service types and SDPs, and the proposals to expand application of the modified limit to all SDPs and all service types and to set a limit for certain targeted Medicaid payments in Medicaid fee-for-service.
Interoperability Standards and Prior Authorization for Drugs Proposed Rule Summary
HFMA provides a detailed summary of the proposed rule intended to improve the electronic exchange of health care data and streamline processes related to prior authorization by increasing the interoperability of systems used across the health care industry.
FY 2027 IPPS/LTCH PPS Proposed Rule Summary
HFMA presents a detailed summary of the FY 2027 Medicare inpatient prospective payment system and long-term care hospital prospective payment system proposed rule published in the Federal Register on April 14, 2026.
2027 Medicare Advantage – Part D Final Rule Summary
HFMA provides a detailed summary of a final rule that will revise regulations affecting Medicare Advantage (Part C), Medicare Prescription Drug Benefit (Part D), Medicare cost plans, and Programs of All-Inclusive Care for the Elderly (PACE).