Medicare pays for services furnished in a physician’s office based on the Medicare Physician Fee Schedule (MPFS), while Medicare pays for similar services furnished in hospital outpatient departments ...

Site-neutral payment policies are a hot topic every year across the healthcare industry and in Congress. Becker’s has compiled the latest updates and policy changes leaders should know in 2024. 1. In ...

Cigna will not cover MRIs and CT scans performed in a hospital setting if they don’t meet new medical necessity requirements, according to a policy that took effect Aug. 1. Other commercial insurers, ...

Senators Bill Cassidy, M.D., R-Louisiana, and Maggie Hassan, D-New Hampshire, published a policy paper advocating to impose site-neutral Medicare payments on hospitals. The lawmakers argue that ...

Medicare pays hospital outpatient departments higher rates than ambulatory surgical centers and physician offices for providing similar health services. Policy makers are considering aligning payments ...

Hospitals could get $8 billion more in Medicare reimbursement for outpatient services next year under a new proposed rule that would raise rates by 2.4%. Hospital groups aren’t pleased, with the ...

This article is the latest in the Health Affairs Forefront featured topic, “Health Policy at a Crossroads,” produced with the support of the Commonwealth Fund and the Robert Wood Johnson Foundation.

Compared to Medicare site-based payment policy, oncologists' practice characteristics emerged as more potent factors for integration and should be considered to ensure the intended impacts of ...