Forbes April 12, 2024
The Center for Medicare & Medicaid Services is unfortunately, perhaps unintentionally, creating harm. Nowhere is this more evident than in the current arguments between the American Hospital Association and America’s Hospital Insurance Plans regarding site-neutral payments. The AHA strongly opposes site-neutral payment policies, arguing that the resulting reimbursement cuts would threaten patients’ access to care. On the flip side, AHIP argues that these policies are necessary to protect patients from excessive out-of-pocket costs without a corresponding increase in the quality of care.
The current ‘shouting match’ is dangerous. Both organizations’ arguments are grounded in the status quo and current payment model. And largely because of that, neither side should ‘win’–although both bring a perspective that needs to be heard. CMS...
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