July 27, 2023

Doctor’s Office Care at Hospital Prices – Wall Street Journal, July 27, 2023

Each year millions of patients visit their doctors’ offices for a variety of routine services. But in recent years more Americans are being charged as if they had visited a hospital. This is because the doctor’s office billing them is pretending to be a hospital. When a hospital bills a patient’s insurer, it must report […]

May 26, 2023

Weighing Policy Options for Returning Savings from Site-Neutral Payment Reforms to Hospitals – American Enterprise Institute, May 26, 2023

Congress is currently considering policies that would expand site-neutral payment for ambulatory services in the Medicare program. These policies would reduce hospital revenues, while generating savings for Medicare beneficiaries and the federal government and removing an incentive to shift services out of physician offices and into hospitals. Some policymakers have suggested using a portion of […]

May 17, 2023

E&C Panel Passes Site-Neutral Pay For Rx Administration, McMorris Rodgers Says More Coming

Inside Health Policy, May 17, 2023 House Energy & Commerce Chair Cathy McMorris Rodgers (R-WA) ultimately pulled a Medicare site-neutral pay expansion amendment from consideration during the health subcommittee’s Wednesday (May 17) markup of wide-ranging health legislation, saying the committee had more work to do on the policies — but she implored hospitals to work […]

February 6, 2020

Trump Faces Struggle to Defend Hospital Outpatient Pay Cuts – Bloomberg Law, Feb. 6, 2020

The Trump administration will have a tough time defending its effort to ensure that Medicare pays the same rates for services provided at hospital outpatient clinics as at doctors’ offices. The American Hospital Association and dozens of hospitals around the country are challenging the Centers for Medicare & Medicaid’s decision to lower payments to off-campus […]

April 5, 2019

Shifting Care from Office to Outpatient Settings: Services are Increasingly Performed in Outpatient Settings with Higher Prices – Health Care Cost Initiative, April 2, 2019

Where people receive health care matters, especially in terms of costs. The same services may have a much higher price tag when performed in one setting rather than another, but this price difference is rarely publicized to patients. To understand what settings people used and how prices differed, we looked at the utilization and average […]

March 26, 2019

Not All Medicare Cuts Are Bad – The New York Times, March 26, 2019

Democrats are engaged in indiscriminate attacks on President Trump’s 2020 budget proposal. They are ignoring some worthy ideas. Senate Democrats, including several of the party’s presidential candidates, have savaged President Trump for proposing to reduce Medicare spending by several hundred billion dollars over the next decade. Senator Kamala Harris of California said the proposed changes […]

March 15, 2019

Countering Provider Consolidation – Life Science Leader, March 15, 2019

As Congress debates partisan issues such as “Medicare for All” where private health insurance would be outlawed, troubling trends are emerging on healthcare provider consolidation that are driving up costs. ACOs’ Underwhelming Performance There is a long-standing belief — particularly in liberal and academic health-policy circles — that physician–hospital integration into larger systems would improve […]