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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 comments on CY 2026 OPPS proposed rule
The AHA commented Sept. 15 on the Centers for Medicare & Medicaid Services calendar year 2026 outpatient prospective payment system and ambulatory surgical center payment system proposed rule.
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
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.
Respond to CMS' CY 2026 OPPS Proposed Rule
CMS, in its outpatient prospective payment system proposed rule for calendar year 2026, proposes a net 2.4% increase in payment rates.
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