Site Neutral Payment Considerations: Site-of-Service Patterns Vary by Geography

Site neutral payment proposals are currently a key topic among policymakers. Our previous +Insights from February 2024 and March 2024 examined how site-of-service patterns vary across individual procedures that map to the same ambulatory payment classification (APC), and across rural and urban markets. We also analyzed services that are likely to be targets in site neutral payment proposals in our June 2023 +Insight.

This +Insight explores how Medicare fee-for-service (FFS) site-of-service patterns vary across states and metropolitan statistical areas (MSAs).

The dominant site of service varies across states and metropolitan statistical areas (MSAs) for important drug administration and gastrointestinal procedures.
It is important for policy makers to understand that the implications of national site neutral policies could vary across local communities.

Site Neutral Payment Considerations: Site-of-Service Patterns Vary by Geography

Key Takeaways

Authors

Yamini Kalidindi

Devin Stone

Rachel Hollander

Parashar Patel

Leigh Feldman

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