What CMS’s Proposed 2027 Payment Rule Means for Your ASC

What CMS’s Proposed 2027 Payment Rule Means for Your ASC

Special ASC Industry Briefing • On-Demand Webinar

An early, plain-English look at the CY 2027 Medicare OPPS/ASC proposed rule (CMS-1850-P) — rates, newly payable procedures, quality reporting, and your next steps.

Hosted by John Goehle & Sue Cronkite  •  The ASC Podcast with John Goehle & ASC Central

Free to Watch

About This Session

Every summer CMS releases its proposed rule for the coming year’s Medicare hospital outpatient (OPPS) and ASC payment systems — the rule that sets your rates, decides which procedures Medicare will pay for in the ASC, and adjusts the quality-reporting program. This free webinar is your fast, plain-English read on the CY 2027 proposed rule (CMS-1850-P) so you can understand what’s coming and act before the comment deadline.

Built from Episode 282 of the ASC Podcast with John Goehle, John and Sue Cronkite walk through the headline 2.4% update, how ASC payment and the ASCQR quality program actually work, every ASC-relevant change for 2027, and procedure-level data showing the winners, losers, and site-of-service savings — all in one comprehensive session, not a rushed one-hour overview.

Important: This rule is a proposal. The comment period closes August 31, 2026, with a final rule expected in November 2026 and rates effective January 1, 2027. See the resources for how to submit your own comment.

What We Cover

  • The big picture — the rule, the timeline, and the headline 2.4% update.
  • How ASC payment works — a quick primer and history, so the numbers make sense.
  • How ASCQR works — the quality-reporting program and the 2-point penalty.
  • What’s changing for 2027 — every ASC-relevant provision, in plain English.
  • The data — procedure-level charts: winners, losers, and site-of-service savings.
  • What to do now — an action checklist and how to submit a comment before August 31.

What Comes With This Session

The Recording & Slides

Yours to keep and share with your board, your physicians, and your team.

The Field Guide (PDF)

A branded write-up with every chart and the full summary of the rule for ASCs.

The Rate Estimator (Excel)

Enter your own procedures and wage index to see your center’s estimated 2027 local rates.

The Source Materials

Everything ties back to the CMS proposed rule (CMS-1850-P) and its addenda — links included.

Your Hosts

John Goehle

Owner, Ambulatory Healthcare Strategies

ASC consultant, author of The Survey Guide, and host of the ASC Podcast, with decades of experience helping centers with survey readiness, compliance, and operations.

Sue Cronkite

Co-Host & Operations Manager, AHS

Co-host of the ASC Podcast and operations leader at AHS, working with centers day to day on the practical side of running an ASC.

This material is provided for general educational purposes only and is based on publicly available information — principally the CY 2027 Medicare OPPS/ASC proposed rule (CMS-1850-P) and related CMS materials, which are proposals subject to change in the final rule. It is not legal, billing, coding, reimbursement, accounting, or other professional advice, and is not a substitute for the official CMS rule and addenda. Verify all codes, rates, and policies against official CMS sources. CPT © 2026 American Medical Association. All rights reserved. Presented by The ASC Podcast with John Goehle & ASC Central; sponsored by Ambulatory Healthcare Strategies, LLC.