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Advising the Congress on Medicare issues
MedPAC > Recommendations > Reducing beneficiary cost sharing for outpatient services at critical access hospitals

Reducing beneficiary cost sharing for outpatient services at critical access hospitals

June 12, 2025

For fee-for-service Medicare beneficiaries, the Congress should:

  • Set coinsurance for outpatient services at critical access hospitals equal to 20 percent of the payment
    amount for services that require cost sharing; and
  • Place a cap on critical access hospitals’ outpatient coinsurance equal to the inpatient deductible.

Appeared in: June 2025 - Chapter 7

Topics: Hospital.