NPC Submits Comments Regarding the Medicare Hospital Outpatient Prospective Payment System

NPC submitted comments to the Centers for Medicare & Medicaid Services (CMS) in response to the notice, “Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, Including the Hospital Inpatient Quality Reporting Program; Health and Safety Standards for Obstetrical Services in Hospitals and Critical Access Hospitals; Prior Authorization; Requests for Information; Medicaid and CHIP Continuous Eligibility; Medicaid Clinic Services Four Walls Exceptions; Individuals Currently or Formerly in Custody of Penal Authorities; Revision to Medicare Special Enrollment Period for Formerly Incarcerated Individuals; and All-Inclusive Rate Add-On Payment for High-Cost Drugs Provided by Indian Health Service and Tribal Facilities (CMS-1809-P).”

NPC's comments address several important areas, including:

1. Cell and Gene Therapy Payment Policies
2. Efforts to Expand Access to High-Cost Drugs Provided by Indian Health Services and Tribal Facilities
3. Patient Access to Pre-Exposure Prophylaxis (PrEP) for Human Immunodeficiency Virus (HIV) Infection Prevention
4. Modifications to the Packaging Policy for Diagnostic Radiopharmaceuticals
5. Collection of Patient-Reported Outcomes Measures and Social Drivers of Health Data