Healthcare Facilities & Managed Care CY27 Outpatient PPS & ASC Proposed Rule Increases Rates by 2.4%; For-Profit OPPS Effective Rate Update of 7.8%

Research evidence excerpt

Healthcare Facilities & Managed Care CY27 Outpatient PPS & ASC Proposed Rule Increases Rates by 2.4%; For-Profit OPPS Effective Rate Update of 7.8%

Global Research

3 July 2026ab

Healthcare Facilities & Managed Care Equities

AmericasCY27 Outpatient PPS & ASC Proposed Rule

Increases Rates by 2.4%; For-Profit Healthcare Providers

OPPS Effective Rate Update of 7.8% AJAnalystRice

aj.rice@ubs.com

+1-212-713 4299

CY27 OPPS and ASC Rate up 2.4% Joseph Overman

Associate Analyst

On the morning of July 2nd, CMS issued a proposed rule which would raise calendar joseph.overman@ubs.com

year 2027 outpatient prospective payment system (OPPS) and ambulatory surgery +1-212-882 0086

center (ASC) rates by 2.4%. The update is based on a projected 3.2% hospital market

James Kurek

basket percentage increase, reduced by a 0.8% productivity adjustment. For-profit

Analyst

hospitals will also benefit from an estimated 8.44% rate increase for non-drug service james.kurek@ubs.com

payments under the OPPS (though not for ASCs), which is necessary to maintain budget +1-212-713 3704

neutrality as CMS is proposing to make cuts to 340B drug reimbursement for non-profit

Jonathan Yong

hospitals (more details below) The positive 2.4% base rate update and positive

8.44% budget neutrality-related update under the OPPS are partially offset by a 3% jonathan.yong@ubs.com

reduction as CMS proposes to accelerate the recoupment of past overpayments. While +1-212-713 6268

not directly additive, these factors roughly combine to a 7.5% to 8.0% rate increase for

Michael Wei

outpatient hospital services, significantly above the typical base rate increase of 2-3%.

For reference, outpatient Medicare FFS payments account for around ~6% of HCA's michael.wei@ubs.com

total net patient revenues.