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Bill would require insurers to set uniform outpatient therapy rates across settings; committee debates effects and facility fees
Summary
H.585 would require insurers to establish uniform outpatient reimbursement rates (expressed as a percentage of Medicare) for physical therapy, occupational therapy and athletic training across all plans; the committee debated likely negotiation outcomes, effects on independent providers and whether facility fees remain unresolved.
Senate Finance reviewed a site‑neutral reimbursement proposal in H.585 that would require private health plans to adopt uniform outpatient reimbursement amounts for specified therapy services and report back on implementation.
Joe Valente, director of policy at DFR, explained the provision would require insurers to express each outpatient therapy reimbursement amount as a percentage of the Medicare rate for that item or service so the same outpatient code is…
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