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Hospital-Specific Impact Reports for Medicare's OPPS Rules - Proposed and Final


This report, generated uniquely for each COTH member institution, shows changes to hospital-specific Medicare outpatient revenue paid under the Outpatient Prospective Payment System for the upcoming year to reflect rate updates and policy changes proposed and/or finalized in the annual regulatory process.

The hospital-specific reports are prepared for each COTH member twice annually: first in early August following the release of the OPPS proposed rule, and again in November after publication of the final rule.

COTH members can use this report to:

  • Estimate budget impacts for the upcoming year
  • Unpack overall impacts into individual payment factors
  • Benchmark against different hospital cohorts
  • Examine the impact of policy changes on key outpatient service areas

View a training video on how to use the 2018 OPPS Final Rule Impact Report to address questions you have or requests you receive on issues related to the 2018 OPPS payment.

For more information about this report, contact Susan Xu at



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