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Virtual briefing:

The Untapped Potential of Site-Neutral Payment Reform --

How it can deliver billions of dollars in savings for patients, taxpayers and the health care system


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Join us for a virtual briefing:

The Untapped Potential of Site-Neutral Payment Reform --

How it can deliver billions of dollars in savings for patients, taxpayers and the health care system

February 1, 2023, at 2 p.m. ET

We invite you to join the Alliance to Fight for Health Care for a one-hour virtual informational briefing on Wednesday, February 1, at 2:00 p.m. Eastern Time, How site-neutral payment reform can deliver billions in savings for patients, taxpayers, and the U.S. health care system.

Insured Americans overwhelmingly want policymakers to reduce the cost of health care and address price variations across sites of service, according to a Morning Consult National Poll sponsored by the Alliance to Fight for Health Care. The poll found that insured Americans overwhelmingly disapprove of payment policies in which the price charged for the same health care service varies greatly depending on where the service is provided, with 72% of insured Americans saying the price of health care services should be the same no matter where that service is received.


Medicare typically pays higher reimbursements in hospital settings than in physician office settings for the same service. This payment distortion incentivizes hospitals to acquire physician practices and bill Medicare at hospital rates even if the service is performed in a physician’s office. This increases cost-sharing for patients on Medicare and raises costs for taxpayers. To address this distortion and reduce economic incentives for hospitals to continue acquiring physician practices, MedPAC’s June 2022 Report to the Congress: Medicare and Health Care Delivery System includes a chapter dedicated to site-neutral payment reform (Chapter 6: Aligning fee-for-service payment rates across ambulatory settings). This chapter highlights savings opportunities for the Medicare program and beneficiaries.


The Alliance to Fight for Health Care supports site-neutral payment reform as a way to decrease Medicare and commercial spending, ensure patients receive the right care in the right setting, and lower taxpayer and beneficiary costs.


In our February 1 briefing, a panel of health care experts will discuss the advantages of site-neutral payment reform, along with the preliminary results of a new economic study examining site-neutrality and the potential benefits for patients, employees, employers, and taxpayers. 


Speakers include:

  • Frederick Isasi, executive director of Families USA (moderator)

  • Gloria Sachdev, president and CEO, Employers’ Forum of Indiana

  • Stephen T. Parente, professor of finance and Minnesota Insurance Industry Chair, University of Minnesota Carlson School of Management and Finance

  • Patricia Goldsmith, CEO, CancerCare


We welcome you to submit any comments and questions in advance. We will also take questions during the briefing.




March 9, 2022 Telehealth Update

The Alliance to Fight for Health Care commends Congress for working to keep telehealth—particularly, telemental health— services affordable for workers by extending the CARES Act telehealth flexibility in their Omnibus funding package. We look forward to seeing this provision enacted to give workers and their families the peace of mind that they can seek the telemental health care they need. As data about the importance of this flexibility mounts, we urge Congress to make this policy permanent.

The Alliance to Fight for Health Care supports the Telehealth Expansion Act of 2021 (S. 1704/H.R. 5981), legislation to ensure that people can continue to access affordable telehealth services if they have a health savings account. According to a Morning Consult National Tracking Poll sponsored by the Alliance, seven in ten insured adults (71%) feel it is important that they are able to access telehealth services under their current health care plan and 89% rated their or their family member’s previous telehealth visit(s) as good or excellent. With this important flexibility set to expire December 31st 2021, Congress must act now to keep telehealth affordable.


Fighting for Your Health Care

The Alliance to Fight for Health Care is a broad-based coalition comprised of businesses, patient advocates, employer organizations, unions, health care companies, consumer groups and other stakeholders that support employer-provided health coverage. Together, we are working to ensure that employer-provided coverage remains an available and affordable option for working Americans and their families. The coalition, previously working as the Alliance to Fight the 40, led the successful effort to repeal the so-called 40% “Cadillac Tax” on health care coverage.

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“The Alliance’s goal is to advance public policy that makes health care more affordable, strengthens job-based coverage and supports continued innovation that delivers value to working families.”

James A. Klein, president of the American Benefits Council

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