Hospitals could be playing defense this year as bipartisan scrutiny builds in Congress over the way facilities charge more for outpatient services that could be done in less expensive settings.
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Advocates for site-neutral billing also believe it could help curb anti-competitive behavior in the health care market, by slowing the rapid consolidation and acquisition of physician practices by health systems. The political environment, where Democrats are attacking Republicans for wanting to cut Medicare, also makes any attempt to tinker with provider reimbursements difficult, even if the changes don't involve cutting benefits for seniors.Hospital costs are "the next big fight in terms of addressing affordability,” said Sophia Tripoli, who works on the issue for the health care consumer group Families USA.
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