Comparison of Care in Hospital Outpatient Departments and Independent Physician Offices

April 2021

Medicare patients who receive care in a hospital outpatient department (HOPD) are more likely to be poorer and have more severe chronic conditions than Medicare patients treated in an independent physician office (IPO), according to a study released today by the AHA. The study also specifically examined the characteristics of Medicare cancer patients seen in HOPDs and IPOs and found similar results.

The findings of this new study, conducted for the AHA by KNG Health Consulting LLC, highlight why actions implemented in the last few years by the Department of Health and Human Services (HHS), as well as other proposals under consideration by Congress to reimburse hospitals the same amount as physician offices, could threaten access to care for the most vulnerable patients and communities.

Related Resources

AHA Center for Health Innovation Market Scan
Like many health systems, University of Utah Health has been focused on the best ways to treat patients with multiple risks that include physical, psychiatric…
AHA Center for Health Innovation Market Scan
Pilot programs in America and Europe are examining the value of employing a mix of in-person and telehealth services in settings outside of hospitals, and…
On behalf of our nearly 5,000 member hospitals, health systems and other health care organizations; our clinician partners — including more than 270,000…
AHA Center for Health Innovation Market Scan
With the effects of COVID-19 expected to continue for some time, providers can expect many of the trends that developed over the past two years to continue.…
The Centers for Medicare & Medicaid Services (CMS) Nov. 2 issued a final rule that updates physician fee schedule (PFS) payments for calendar year (CY) 2022.
Webinar Recordings
  Listen to the webinar