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Statement on 2020 Medicare OPPS Proposed Rule


Statement attributable to:
Bruce Siegel, MD, MPH
President and CEO
America’s Essential Hospitals

WASHINGTON—With its proposed rule, the Centers for Medicare & Medicaid Services (CMS) ignores a federal court’s unequivocal and explicit finding that the agency acted unlawfully when it imposed deeply damaging cuts to hospitals in the 340B Drug Pricing Program.

This is unacceptable. This proposed rule needlessly prolongs the uncertainty, confusion, and harm CMS created with these Part B cuts, which went beyond its statutory authority and continue to threaten access to care in communities nationwide.

CMS further puts care at risk for vulnerable people by maintaining its flawed policy of extending outpatient payment cuts to previously excepted clinics. These cuts fall hardest on hospitals that care for low-income patients and create barriers to expanding access to care in underserved communities.

We also have serious concerns about the agency’s plan to require hospitals to post rates negotiated with insurers. This would create a heavy administrative burden for hospitals and undermine their ability to negotiate equitable payment, while giving consumers little actionable information with which to make informed care decisions.

We urge the agency to reverse course and protect care for people and communities in need by ensuring sustainable support for essential hospitals.

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About America’s Essential Hospitals
America’s Essential Hospitals is the leading champion for hospitals and health systems dedicated to high-quality care for all, including the most vulnerable. We support our more than 300 members with advocacy, policy development, research, and education. Communities depend on essential hospitals to provide specialized, lifesaving services; train the health care workforce; advance public health and health equity; and coordinate care. Essential hospitals innovate and adapt to lead the way to more effective and efficient care. Learn more at

Carl Graziano


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