MedPAC advisers introduced three main proposals, according to the report:
• The “site-neutral” policy — in which HOPDs and ambulatory care settings receive similar Medicare payments — would expand to 66 additional ambulatory payment classifications, which would reduce hospital Medicare payments by $900 million.
• HOPDs and physician offices would receive the same payment for three high-volume cardiac imaging ambulatory payment classifications, which would reduce hospital Medicare payments by $500 million.
• HOPDs and ambulatory surgery centers would receive equal pay for 12 surgical ambulatory payment classifications, reducing hospital Medicare payments by $590 million.
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