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CMS issues final CY2027 hospital outpatient and ambulatory surgical centre payment rule

🇺🇸 CMS · Wed 04 Nov 2026

The US Centers for Medicare & Medicaid Services published rule CMS-1850-F on 4 November 2026, setting Medicare outpatient payment policies and rates for calendar year 2027.

The US Centers for Medicare & Medicaid Services (CMS) issued the final rule for the Calendar Year 2027 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) payment system on 4 November 2026. The rule is identified as CMS-1850-F.

According to the agency, the rule updates Medicare payment policies and rates for hospital outpatient departments and ambulatory surgical centres for 2027. It forms part of the statutory annual review of these payment systems.

The material available to VigiEye contains no detail on specific payment rates, policy changes or effective-date provisions, so the practical impact on individual products or procedures cannot yet be assessed.

As general context, OPPS and ASC rules are updated every year and determine how Medicare reimburses care delivered in outpatient settings. That makes them a regular reference point for reimbursement and market-access planning for drugs, devices and procedures.

What it means for your team

  • Market-access and reimbursement teams should review the full text of CMS-1850-F to identify any 2027 rate or policy changes affecting their products in outpatient settings.
  • No rate or policy specifics were available in the material reviewed, so any impact assessment should wait for the full rule.
  • Teams with products used in hospital outpatient departments or ambulatory surgical centres should factor the 2027 payment update into planning.

Official source: CMS ↗

Article written by VigiEye from the official source (CMS). AI-assisted; check the source before acting.

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