4sight Health June 4, 2024
In a remarkable and surprising show of bipartisanship, the U.S. House of Representatives passed the “Lower Costs, More Transparency Act” December 11, 2023, by an overwhelming 320-71 vote. Avoiding hyperbole, the Act lives up to its name. It seeks to equalize Medicare payment for the same drugs administered in the same way whether in hospitals or in doctors’ offices. Seems reasonable but the American Hospital Association (AHA) begs to differ.
Medicare pays two-to-three times more for administering the same drugs in hospital-owned facilities (including doctors’ offices) than in independent doctors’ offices. This practice creates financial incentives for hospitals to acquire physician practices, and so they have. The Medicare Payment Advisory Commission (MedPAC) reports that Medicare paid hospital-based prices for over...
Today's Sponsors
Today's Sponsor