CY2027 OPPS/ASC Proposed Rule The sequel nobody asked for but everybody needs to understand: CMS wants to slash 340B drug payments by a third, speed up an old remedy clawback, and keep pushing more procedures out of hospitals and into lower-cost sites of care. A "routine" 2.4% headline number hides one of the more consequential outpatient rules in years. In part two of the trilogy, we go under the hood on the fights that'll actually move the needle for hospitals and health systems.