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Essay: We Should Scrap Medicare Site Neutrality (October 23rd)

Last week The Hill published my essay/editorial, "We Should Scrap Medicare Site Neutrality."  At: https://thehill.com/opinion/healthcare/467169-we-should-scrap-medicare-site-neutrality.  For those who study Medicare payment policy, the essay explains site neutral payments have become viewed as sine qua non, or essential or indispensable policy.  The problem is, as I argue, the policy, among other things, is based on little supportive research evidence and MedPAC's argument constitutes circular reasoning, or where the proposition and premise support one another.  Here, HOPD volume increased because of additional physicians and additional physicians increased HOPD volume. 


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