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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.
AHA Details Legislative Priorities for Congressional Leaders
Hospitals and health systems are experiencing significant financial pressures that challenge their ability to provide 24/7 care for the patients and communities they serve. As Congress begins to focus on its end-of-the-year work, America’s hospitals and health systems respectfully request that you consider the following priorities.
Hospital Outpatient Departments Are Different from Independent Physician Offices
Current Medicare payment rates recognize the fundamental differences between patient care delivered in hospital outpatient departments compared to other settings. Any expansion of so-called site-neutral payment cuts will result in limiting or eliminating critical hospital-based care, increased wait times for services and reduced access to care for all patients.
AHA Site-neutral Advocacy Alliance Bulletin - September 3, 2025
AHA Site-neutral Advocacy Alliance Bulletin for September 3, 2025.
Comparison of Care in Hospital Outpatient Departments and Independent Physician Offices Among Cancer Patients
Site neutral payments may have adverse effects on Medicare cancer patient access to care.
Comparison of Care in Hospital Outpatient Departments and Independent Physician Offices
Site neutral payments may have adverse effects on Medicare patient access to care.
New Study Shows Hospital Outpatient Departments Treat Sicker, More Rural & Lower-Income Patients Than Independent Physician Offices
WASHINGTON (September 3, 2025) – A new study released today by the American Hospita
CMS Issues Hospital Outpatient, Ambulatory Surgical Center Proposed Rule for CY 2026
The Centers for Medicare & Medicaid Services (CMS) July 15 issued a
Hospital Outpatient, Ambulatory Surgical Center Proposed Rule for CY 2026
The AHA is disappointed that CMS proposes an inadequate Medicare outpatient hospital payment update, as many hospitals — especially those in rural and underserved communities — operate under challenging financial pressures.
TAKE ACTION: Engage Lawmakers in August to Build Support for Key Priorities
It is important to engage with your lawmakers while they are home and discuss the impact that the recently passed One Big Beautiful Bill Act and additional policy proposals that are under consideration will have on hospitals’ ability to provide care.