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Hospitals Decry Medicare Outpatient Payment Proposal

July 27, 2018, 1:34 PM

Groups representing hospital interests oppose the Medicare agency’s proposal to stop paying more for the same type of clinic visit in the hospital outpatient setting than in the physician office setting.

The rule (RIN:0938-AT30), proposed by the Centers for Medicare & Medicaid Services July 25, would encourage migration of services from hospitals to lower-cost ambulatory surgical centers by capping outpatient payments at the physician fee schedule-equivalent rate. This would result in an estimated savings of $760 million in 2019 and would save beneficiaries an average of $14 each visit in copayments.

Outpatient services can include surgical procedures, laboratory...

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