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US companies overusing Medicare outpatient PPS (prospective payment system), say hospitals

This article was originally published in Clinica

Executive Summary

Major US hospital groups have begun complaining about the device industry's aggressive use of the special new technology pass-through payment available under Medicare's outpatient prospective payment system (PPS). In a July 10 letter to Thomas Scully, the new administrator of the Centers for Medicare & Medicaid Services (CMS), the groups expressed concern that payments for new technologies might reduce the amount of money going for other care areas.

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