Pass-Through Payments, Cost, and Convenience in Hospital Outpatient Departments and Ambulatory Surgical Centers

The US Medicare pass-through program applies to new drugs that are used in hospital outpatient departments (HOPDs) or ambulatory surgical centers (ASCs) under Medicare Part B. These facilities are normally paid for by the Centers for Medicare& Medicaid Services (CMS) under the applicable ambulatory payment classification (APC). The pass-through program provides a mechanism by which the cost of new drugs administered in the HOPD or ASC is passed through to CMS. In so doing, CMS supports the availability of new drugs for beneficiaries during a defined initial period during which their use and impacts can be assessed.
Source: JAMA Ophthalmology - Category: Opthalmology Source Type: research