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How Medicare Encourages Hospitals to Monopolize the Medical Marketplace

Posted on August 21, 2023 by John C. Goodman

In 2016, the first hour of chemotherapy infusion — one of the most common services billed by oncology practices — was reimbursed at $136 for physician’s offices, while payment for hospital outpatient departments was 106% higher, at $280…. This year, this payment disparity has jumped to 158%, with physician reimbursement declining to $129 and the outpatient department rate increasing to $333….

While my clinic has been able to continue providing independent care to patients, hospital merger pressures have forced 44 of Texas’ independent cancer centers to close their doors — leaving cancer patients without access to their trusted community providers.

Dr. Ralph Heaven, Dallas Morning News

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For many years, our health care blog was the only free enterprise health policy blog on the internet. Then, when the NCPA closed its doors, the health blog stopped as well.

During this five-year hiatus no one else has come forward to claim the space. So, my colleagues and I have decided to restart the blog in connection with the Goodman Institute. We invite you and others to use this forum to share your views.

John C. Goodman,

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