Hospitals

Hospital Outpatient Department
(HOPD) E/M Cuts - MedPAC
January 2012 – MedPAC formally adopted a
recommendation
• “…reduce payments for evaluation and
management office visits provided in outpatient
departments so that total payment rates for
these visits are the same in an outpatient
department for physician office….”
• (MedPAC Report March 2012)
• Phase transition over 3 years
• Limited stop loss for hospitals with DSH patient percent at or above
median (@25%)
• Study by 2015 to examine impact on access for low-income
patients
• Greatest impact on major teaching and nonprofit hospitals
2012 AAMC Annual Meeting