Among those celebrating the decision were the American Hospital Association (AHA) and the Association of American Medical Colleges (AAMC), which were both plaintiffs in the case. AMERICAN HOSPITAL ASSOCIATION, ET AL., APPELLEES v. ALEX M. AZAR, II, IN HIS OFFICIAL CAPACITY AS SECRETARY OF HEALTH AND HUMAN SERVICES, APPELLANT Consolidated with 19-5353, 19-5354 … CMS completed a two-year phase-in of payment cuts for clinic visits furnished in off-campus hospital outpatient departments, which comprise the most common service billed under the OPPS. 'Site-neutral' payments. Facebook. 7. Site-neutral payments seek to close that gap by lowering payment to HOPDs, with the most recent legislation focused on off-campus provider-based sites located 250 yards or more away from the hospital's campus. Please fill out the form below to become a member and gain access to our resources. Under the original legislation, a project would not be subject to the site-neutral payment policy if the hospital was billing Medicare for services furnished at that off-campus outpatient department location on or before November 2, 2015. The site‐neutral payment policy would affect 47% of admissions from the highest‐supply regions, versus 30% from the lowest‐supply regions (p<.001); and 43% from high‐use hospitals versus 36% from propensity score‐matched low‐use hospitals (p<.001). Federal Judge Rules Against CMS Site-Neutral Payment Policy. The AHA continues to urge Congress to reject calls for any additional site-neutral payment policies for HOPDs. The site‐neutral payment policy would affect 47% of admissions from the highest‐supply regions, versus 30% from the lowest‐supply regions (p<.001); and 43% from high‐use hospitals versus 36% from propensity score‐matched low‐use hospitals (p<.001). An appeals court ruled that CMS has the authority to implement a controversial site-neutral payment policy. 10. Modern Healthcare reported that the 60% rate cut will “equal a $760 million hit to hospitals in 2019.” The anticipated loss will force hospitals and health systems to recalculate budgets and revisit their strategic growth plans. Ongoing legal challenges. “I was not surprised by the outcome, in part because it is the same court that issued the decision around 340B,” she said in an interview. Interested in LINKING to or REPRINTING this content? Finally, the Court held that that the site-neutral payment policy “rests on a reasonable interpretation of HHS’s statutory authority to adopt volume-control methods.” In response to the Court of Appeals decision, AHA General Counsel, Melinda Hatton, stated that the AHA is disappointed in the ruling and is considering its options going forward. Ongoing legal challenges. Payment disparities between hospital outpatient departments and physician practices create financial pressure on patients and the community physicians who serve them. 12. 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