Becker's Healthcare September 14, 2023
Common medical procedures can cost more than twice as much when they take place in a hospital outpatient setting compared to a physician office or ambulatory surgery center, according to an analysis published Sept. 14 by the Blue Cross Blue Shield Association.
“Our findings suggest that if commercial payers implemented site-neutral payments across settings, then employers, employees, and patients would realize substantial savings through lower premiums and out-of-pocket costs.”
The new research comes alongside a policy push from the BCBSA in favor of site-neutral payment reform under Medicare, which would require providers to bill for services uniformly across all facilities. In arguments against site-neutral payments, the AHA has said they fail to take into account key differences between hospital...