Update on Medicare Site-Neutral Payments
A guide to Medicare site-neutral payments for healthcare leaders: the policy, financial exposure, and operating decisions that could reshape care delivery.
site neutral
Site Neutral Payments Kick-0ff!
As of January 1, 2026, the scope of Medicare’s site-neutral payment policy expands to include drug administration services—such as chemotherapy and other infused therapies—furnished in excepted (grandfathered) off-campus provider-based departments (PBDs) of hospitals. Under the CY 2026 OPPS final rule published by CMS: CY 2026 OPPS and Ambulatory Surgical Center Final Rule – Hospital Price … Read more
Post-Acute, Site Neutral Payment Upcoming?
In the 2019 OPPS (outpatient PPS) proposed rule, CMS included a site neutral payment provision. With the comment period closed, the lobbying (against) fierce, it will be interesting to see where CMS lands in terms of the final OPPS rule – maintain, change, or abate. The one thing that is for certain, regardless of the … Read more