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

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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 August/September following the release of the OPPS proposed rule, and again in November/December 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

Video Tutorial for the current OPPS Impact Report

Part I: Navigating Your Impact Report
Part II: CY2019 OPPS Payment and Payment Factors
Part III: Site-Neutral Proposals
Part IV: 340B Payment Reduction
Part V: ASC Covered Procedures
Part VI: Most Frequently Billed Services

For more information about this report, contact Susan Xu at

OPPS CY 2018 Final Rule

AAMC’s CY 2018 OPPS Proposed Rule Webinar

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