These services have also grown as a share of Medicares spending.

It is expected to reach 53 percent in 2033.

See the report for additional examples.

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Beyond affecting payments for providers, Medicares site-specific payments significantly affect consumer health care spending.

See the report for more examples of out-of-pocket costs.

System-wide, Medicares site-specific payments affect health care costs in several ways.

Female doctor talking with senior woman in exam room

  1. They unnecessarily increase Medicare spending.

  2. They may incentivize providers to take advantage of the highest rate for outpatient services.

This report discusses existing site-neutral policies in Medicare and additional reforms being considered.

Older people taking a selfie

More than one-quarter of adults 4064 have some form of medical debt.

A senior woman of African decent, sits up on an exam table during a routine check-up as she greets her doctor. She is dressed casually and smiling as her female doctor enters the room.

Senior female patient having blood pressure taken during medical examination appointment

Medicare’s Accountable Care Organization REACH Model Aims to Improve Equity and Access to Care