Medicare Proposed and Final Rule Updates: FY 2027 IPPS Final Rule and CY 2027 OPPS and MPFS Proposed Rules

Please join Director of Government Relations, Molly Ford, and the reimbursement and policy advisors from Nimitt Consulting for the Medicare Rules Round-up Webinar on Wednesday, August 19, 2026 from 11:00 a.m. – 12:00 p.m. CDT

The OPPS and MPFS proposed rules were released on July 7 and July 16, respectively. ASTCT will be circulating draft comments to CMS in advance of the comment period closing.  Comments can be submitted to CMS via https://www.regulations.gov and are due by August 31 (OPPS) and September 14 (MPFS).

The IPPS final rule was issued on July 31 and goes into effect on October 1, 2026.  A few payment highlights include the following:

• Overall payments were increased by 2.3%
• The base payment for MS-DRG 014 (Allogeneic Stem Cell Transplant) decreased slightly from FY 2026 to $87,109
• The base payment for MS-DRG 018 (CAR-T and Other Immunotherapies) has increased by almost $20,000 to $333,445
• The outlier fixed loss threshold has increased to $49,346 per MS-DRG, up from $40,397

There will be a Q&A section at the end of the webinar, so please register and submit any questions in advance that you would like answered during the webinar to [email protected]. If you are unable to join, the recording will be made available. 

Please consider sharing this webinar information with your network of physicians, administrators, providers, or any other colleagues that may be interested.