![]() The Health Savers Initiative is a project of the Committee for a Responsible Federal Budget, Arnold Ventures, and West Health, which works to identify bold and concrete policy options to make health care more affordable for the federal government, businesses, and households. This vertical integration has increased the market power and name recognition of health systems, allowing them to demand even higher prices from commercial payers. Second, these payment differentials incentivize hospitals to purchase physician practices and convert them to off-campus HOPDs to garner higher payments. This leads to higher health care spending on common, low-resource services, such as office visits and minor procedures. For one, they drive service provision to higher-cost sites, namely from physician offices to hospital outpatient departments (HOPDs). ![]() ![]() In that context, it makes sense to address the market inefficiencies that come from site-specific payment rates. The high and rising costs of health care necessitates policy changes. These policies would also reduce incentives that drive consolidation and limit facility fee bills for patients. Reduce the federal budget deficit by $117 billion.Reduce commercial premiums by $386 billion and patient cost sharing by $73 billion.Reduce total national health expenditures by $458 billion.Over the next decade (2024-2033), policies that encourage site-neutral payments in the commercial insurance market could:
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