Medicare patients who receive care in a hospital outpatient department are more likely to come from medically underserved populations and be sicker and more complex to treat than Medicare patients treated in independent physician offices and ambulatory surgical centers, according to a study by KNG Health Consulting released today by the AHA, underscoring why proposals to compensate hospitals and health systems the same as IPOs and ASCs under Medicare would threaten patient access to care. 

“Hospitals and health systems provide around-the-clock care — including emergency services — to all who come to us,” said AHA President and CEO Rick Pollack. “This includes the sickest patients and those left behind economically in our communities. Medicare already reimburses hospitals, which have more comprehensive licensing, accreditation and regulatory requirements than independent physician offices and ambulatory surgical centers, less than the cost of providing care.”

Related News Articles

Headline
The White House April 15 released an executive order directing federal agencies to undertake a broad range of tasks aimed at reducing the costs of prescription…
News
The Centers for Medicare & Medicaid Services April 7 released finalized payment rates for calendar year 2026 Medicare Advantage and Part D plans. Payments…
Headline
The AHA today urged the Medicare Payment Advisory Commission to take specific actions on physician fee schedule payments following recommendations the…
Headline
The Centers for Medicare & Medicaid Services April 4 finalized changes to the Medicare Advantage and prescription drug programs for contract year 2026. The…
Chairperson's File
Public
Rural hospitals and health systems face big challenges, but together — with a unified voice — we can work to ensure people living in rural communities get the…
Headline
The Department of Health and Human Services March 27 announced a series of actions as part of a department-wide restructuring. The department said the moves…