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Healthy Hospitals, Healthy Communities: Prevent Site-neutral Cuts
Medicare’s payment differences between hospital outpatient departments (HOPDs) and physician offices reflect the reality that HOPDs care for more complex patients, operate under stringent safety requirements, and maintain vital community services.
Fact Sheet: AHA Urges Congress to Call on CMS to Stop Cuts to Hospitals
America’s hospitals and health systems continue to face unprecedented financial pressures due to the ongoing effects of the COVID-19 pandemic and current inflationary economy. Historic inflation has extended and heightened the already severe economic instability brought on by the pandemic resulting in razor thin operating margins from massive surges in input costs, including a struggling workforce, drug costs, supplies and equipment.
Fact Sheet: Medicare Site-neutral Legislative Proposals Would Jeopardize Access to Care
Congress is considering several bills that would impose additional site-neutral payment reductions to services provided in hospital outpatient departments (HOPDs).
Report: Examining the Real Factors Driving Physician Practice Acquisition
Policymakers and others have expressed growing concern about the trend of physician practices becoming affiliated with hospitals and health systems.
Fact Sheet: Sen. Sanders Bill Would Reduce Funding for Patient Care, Add Burden on Health Care Providers
The AHA strongly opposes policies to decrease hospital reimbursements by eliminating “facility fees,” which are the direct and indirect costs that allow a hospital to continue to provide services to patients and serve the needs of their community.
Fact Sheet: Hospital Outpatient Department Billing Requirements
Congress is considering legislation that would change current billing practices for Medicare and the commercial insurance market to require each off-campus hospital outpatient department (HOPD) to be assigned a unique NPI as a condition of payment.
Fact Sheet: Legislative Proposals Under Consideration Would Jeopardize Access to Care for Patients and Communities
Congress is considering several proposals that would impose additional Medicare site-neutral payment reductions for services provided in hospital outpatient departments (HOPDs).
Fact Sheet: Facility Fees
Facility fees are the portion of a health care treatment bill that covers all the costs of delivering patient care, except for those that are billed by physicians and other professionals.
Fact Sheet: Estimated Impact of Hospital On-campus and Off-campus Site-Neutral Proposal
Legislative efforts to enact a Medicare Payment Advisory Commission (MedPAC) proposal that would impose site-neutral payment cuts on hospitals for certain outpatient services — including those occurring in both on-campus and off-campus hospital outpatient departments (HOPDs) — would lead to significant and unacceptable Medicare cuts for hospitals and health systems, jeopardizing access to hospital care for millions of Americans.
Fact Sheet: Medicare Hospital Outpatient Site-Neutral Payment Policies
The AHA strongly opposes site-neutral payment cuts, which would reduce access to critical health care services, especially in rural and other underserved communities.