Introduction-

Site neutral payment proposals may affect access differently across patient populations. In this +Insight, we focus on how site-of-service patterns for drug administration services, which both the Medicare Payment Advisory Commission (MedPAC) and Congress have singled out for potential site neutral payment reductions, differ for Medicare beneficiaries living in rural and urban areas and how it can affect access to care.

We have focused on site neutral payment proposals in previous +Insights, including our June 2023 +Insight on the services likely to be impacted if MedPAC’s recent site neutral payment proposal is enacted, and our February 2024 +Insight on how site-of-service patterns vary across individual procedure codes that map to the same ambulatory payment classification.