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Advising the Congress on Medicare issues
MedPAC > Recommendations > Improving Medicare’s policies for separately payable drugs in the hospital outpatient prospective payment system (2)

Improving Medicare’s policies for separately payable drugs in the hospital outpatient prospective payment system (2)

June 15, 2021

The Secretary should specify that the separately payable non-pass-through policy in the hospital outpatient prospective payment system applies only to drugs and biologics that are the reason for a visit and meet a defined cost threshold.

Topics: Drugs, Devices, and Tests and Hospital.