Market Shock Report: Site-Neutral Payments

What is a Market Shock Report?

Our Market Shock Reports help you understand and prepare for complex market disruptions that are difficult to predict. These interactive and customizable reports help you estimate how likely a trend will shock your market, model the potential impacts to your business, and develop a roadmap to prepare your organization for the shock.

By Caity Gillooley

Medicare currently reimburses ambulatory providers at different rates based on location—payment rates for the same service can differ significantly depending on whether a patient is seen in a hospital-based clinic, a physician’s office, or a freestanding ambulatory site.

To eliminate this payment gap, MedPAC has suggested modifications to reimbursement methodologies that will likely result in payment cuts to several hospital-based outpatient procedures.

As many providers see up to 50% of their gross revenue contributed by outpatient care, your organization must answer two crucial questions:

  • When will site-neutral payment policies be implemented?
  • What will a payment methodology that aligns HOPD and physician office reimbursement rates mean for your revenue?

Download this report to learn how to evaluate the likelihood of implementation of site-neutral payments, assess the potential impact, and ensure that your organization will be ready.

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