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CY 2026 Medicare Hospital Outpatient Prospective Payment System (OOPS) and Ambulatory Surgical Center (ASC) Proposed Rule
The CY 2026 OPPS and ASC proposed rule (Proposed Rule) signals a continued shift toward value-driven, cost-conscious reimbursement policies, many of which directly impact drug manufacturers. From enforcing Medicaid Drug Rebate Program participation and implementing Inflation Reduction Act of 2022 (IRA) inflation rebates, to refining payment mechanisms for specific products and services, the Centers for Medicare & Medicaid Services (CMS) is firmly prioritizing compliance, transparency, budget neutrality, and site-of-service equity.
