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Contact Rep. Before March 18 E&C Subcommittee on Affordability
This is the next in a series of hearings examining health care costs and exploring options to make care more affordable.
Advocacy Issue: Site-Neutral Payment Proposals
Hospitals and their associated facilities provide access to critical services that are not otherwise always available in the community and they treat patients with very severe conditions. Payment proposals that attempt to treat hospital outpatient departments the same as independent physician offices and other ambulatory sites of care ignore the very different level of care provided by hospitals and the needs of the patients and communities cared for in that setting.
Site-Neutral Payment
Site-neutral payments mean paying the same for services provided in a hospital setting as for those in a physician office or ambulatory surgery center
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: 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: 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).
AHA Site-Neutral Advocacy Alliance Bulletin - February 6, 2026
AHA Site-Neutral Advocacy Alliance Bulletin for February 6, 2026.
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.