Today's cardiovascular outpatient market is increasingly shaped by payers steering patients to lower-cost sites and growing patient demand for lower-priced, convenient services. At the same time, new site-neutral payment policies are reducing Medicare reimbursement for certain hospital-owned facilities.
To respond to these trends, many cardiovascular leaders are evaluating the potential impact of shifting services off campus, and some are even beginning to think about offering more competitive prices in their outpatient facilities.
This tool allows organizations to assess the potential impact of three types of price changes on total cardiovascular revenue:
- What happens if you change the list price for one or more services?
- How would a change in Medicare fee schedules for a given facility (e.g., from hospital to provider rate, or from hospital outpatient to the site-neutral rate) impact your revenue?
- How would a change in negotiated rates between your organization and a payer affect your net revenue?