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Coalition analysis examines impact of site-neutral payment proposals

The Coalition to Strengthen America’s Healthcare Feb. 5 released a new research brief examining the impact of proposed site-neutral payment policies on hospitals and patient access to care.
Public

Site-Neutral Payment

Site-neutral payments mean paying the same for services provided in a hospital setting as for those in a physician office or ambulatory surgery center
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Fact Sheet: Facility Fees

Facility fees are the portion of a health care treatment bill that covers all the costs of delivering patient care, except for those that are billed by physicians and other professionals.
Member

AHA Site-neutral Advocacy Alliance

AHA Site-neutral Advocacy Alliance for November 25, 2025
Member

Comparison of Care in Hospital Outpatient Departments and Independent Physician Offices 2011-2019

Comparison of care in hospital outpatient departments and independent physician offices: AHA study reveals why actions implemented by the Department of Health and Human Services could threaten access to care.
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Comparison of Care in Hospital Outpatient Departments and Independent Physician Offices 2019-2024

Site neutral payments may have adverse effects on Medicare patient access to care.
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AHA Statement to Senate Committee on Aging Hearing on Health Care Services

AHA shares the hospital field’s comments on how to reduce health care costs for seniors.
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AHA Comments on CMS CY 2026 Outpatient, ASC Proposed Payment Rule

RE: CMS–1832–P Medicare and Medicaid Programs; Calendar Year 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program

Advocacy Issue: Site-Neutral Payment Proposals

Hospitals and their associated facilities provide access to critical services that are not otherwise always available in the community and they treat patients with very severe conditions. Payment proposals that attempt to treat hospital outpatient departments the same as independent physician offices and other ambulatory sites of care ignore the very different level of care provided by hospitals and the needs of the patients and communities cared for in that setting.