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The agency also will continue to evaluate bulk drug substances that have been nominated with sufficient supporting information and address those substances on a rolling basis through notice-and-comment rulemaking
of the CY 2026 OPPS/ASC proposed rule, that, beginning January 1, 2026, hospitals would be required to report a new data element, the median allowed amount, instead of the estimated allowed amount reported at present, and that the median allowed amount would be defined as the median of the total allowed amount that the hospital has historically received from a third-party payer (including MAOs) for an item or service
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