Becker's Healthcare August 28, 2024
ASC leaders and physicians remain frustrated with Medicare and private payers over disparities in reimbursements between their facilities and hospital outpatient departments.
One proposal to even out the payment playing field is site neutral payments, or site neutrality. Site-neutral payments means that patients pay the same price for the same services, regardless of where services are performed.
Some legislative efforts have been undertaken to reform site-neutral payment policies. The Bipartisan Budget Act of 2015 introduced site-neutral payment reforms that applied lower payment rates to off-campus HOPDs, with some exemptions. In 2019, CMS extended site neutrality to all off-campus HOPDs for clinic visits, including those previously exempt, and rural hospitals were exempted from those reforms in 2022.
The Peter G. Peterson...