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Advising the Congress on Medicare issues
MedPAC > Recommendations > Changing Medicare’s Payment Systems for Ambulatory Care Facilities (I)

Changing Medicare’s Payment Systems for Ambulatory Care Facilities (I)

March 1, 1999

In implementing a prospective payment system for the hospital outpatient setting, the Secretary should: Seek, and the Congress should pass, legislation to increase the rate of the beneficiary co-insurance buy-down. The cost of the faster buy-down should be financed by increases in program spending, rather than through additional reductions in payments to hospitals.

Topics: Hospital.