CMS’s 2026 OPPS final rule updates outpatient payment policies, adjusts 340B drug recoupment, extends site-neutral payment models, expands ASC services, and enhances hospital price transparency requirements effective January 2026.

CMS finalizes the 2026 Medicare OPPS and ASC payment rates with a 2.6% increase, including quality reporting penalties and maintained 340B payment adjustments.

Bipartisan legislation aims to cap Medicare coinsurance costs for services at ambulatory surgical centers, promoting cost-effective healthcare and reducing patient expenses.