Our report on Maryland outpatient facility fees shows greater variation in cost-sharing percentages for Medicare FFS versus those of commercial insurance.

We show how a New York City provider increased wage indexes for most of the state by more than 10 percentage points by reclassifying itself as a rural hospital.

Join us for a discussion of the wage index calculations, including a case study of how one hospital in New York City was able to reclassify as “rural” and increase 2025 reimbursement in upstate New York by about 10%, after 2025 bids were submitted.

While MACRA primarily affects Part B clinicians, there are numerous implications, synergies, and opportunities for Medicare Advantage plans.