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Lawmakers debate site‑neutral Medicaid payments and merger reporting; hospitals warn of unintended consequences
Summary
Senate Bill 370 would move Medicaid toward site‑neutral payments for outpatient services and require reporting on practice acquisitions; employers and administration officials supported parity and transparency, while hospitals warned that mandated changes could threaten smaller providers and urged caution. The bill was held for further drafting.
Senator Buck introduced Senate Bill 370, which would require site‑neutral Medicaid payments for certain outpatient services and add reporting requirements for hospital acquisitions of physician practices. The sponsor framed the measure as an effort to reduce what he described as unfair payment differentials that advantage hospital‑owned sites over independent provider offices and to increase transparency about consolidations.
Supporters included the Employers Forum of Indiana, which said site‑neutral payments can reduce costs for patients and payers, and the Department of Health and Family Services staff, who described the…
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