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Goldman Sachs

July 2, 2026

Americas Healthcare Services CY2027 OPPS ASC Proposed Rule

Sector ReportEquitiesHealth Care

Goldman Sachs evaluates the CMS CY2027 OPPS/ASC proposed rule as incrementally positive for healthcare facility operators, citing favorable payment updates and a shift toward ambulatory settings. Tenet Healthcare (THC) is highlighted as being particularly well-positioned to benefit.

Key Takeaways

  • 1.CMS released the CY2027 OPPS/ASC proposed rule, which we view as incrementally positive for operators like THC, HCA, UHS, ARDT, and UNH due to positive rate updates and budget-neutral redistribution of funding away from 340B drug payments.
  • 2.The rule reinforces long-term structural migration of procedures from inpatient to ambulatory surgery centers (ASCs), benefiting market leaders like THC.
  • 3.CMS proposes a 2.4% payment update for both hospitals and ASCs that meet quality reporting requirements for CY2027.

Table of Contents

  • Key Data Read-Outs
  • Disclosure Appendix
  • GS Factor Profile
  • M&A Rank
  • Quantum
  • Disclosures
  • Regulatory disclosures
  • Additional disclosures required under the laws and regulations of jurisdictions other than the United States
  • Ratings, coverage universe and related definitions
  • Global product; distributing entities
  • General disclosures

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Authors

Scott FidelSarah ConradValentine Vlasov

Securities

THCHCAUHSUNH

Themes

340B Drug PricingHealthcare Policy ReformSite-of-care Migration

Regions

North AmericaUnited States