Limited-Service Providers
Limited-service providers, also known as “niche” or specialty providers, are not new, but the nature and pace of their growth is. They include heart hospitals, orthopedic hospitals, surgical hospitals and ambulatory surgery centers (ASCs), cancer hospitals and centers, dialysis clinics, pain centers, imaging centers, mammography centers, and a host of other narrowly focused providers. The last decade has seen explosive growth in both inpatient and ambulatory limited-service providers, increasingly owned, at least in part, by the physicians who refer patients to them.
The AHA is very concerned that the growth of limited-service providers, if left solely to market forces, will undermine access to health care services for communities across this country.
AHA News
- Apr 02, 2012 | Federal appeals court overturns decision in Stark law case
- Feb 17, 2012 | Congress passes agreement to delay Medicare physician payment cut
- Feb 16, 2012 | Agreement reached on Medicare physician payment fix
- Dec 13, 2011 | Hospital groups urge Congress to oppose H.R. 3630
- Dec 09, 2011 | House bill would cut hospitals to help pay for physician payment fix
- Aug 29, 2011 | AHA comments on proposed outpatient changes for 2012
- Apr 06, 2011 | Congress urged not to repeal ACA limits on physician self-referral
- Mar 18, 2011 | House bills would repeal ACA limits on physician self-referral
- Jan 11, 2011 | AHA supports SC health system in Stark Law appeal
- Dec 23, 2010 | Study: Physician ownership of medical equipment highlights self-referral issue
Recent Efforts
- Feb 16, 2012 | AHA Comments to CMS Re: Medicaid; Disproportionate Share Hospital Payments-Uninsured Definition
- Nov 08, 2011 | Accountable Care Organizations: Guidance to Address Antitrust, Fraud & Abuse and Tax Exemption...

- Jul 05, 2011 | CMS Releases Three Proposed Rules for CY 2012

- May 18, 2011 | AHA Special Bulletin: AHA Model Comment Letters on ACO-Related Fraud and Abuse and Antitrust Issues

- Apr 29, 2011 | AHA Special Bulletin: CMS Issues Final Value-Based Purchasing Rule

- Nov 03, 2010 | AHA Special Bulletin: CMS Releases Final Rules For CY 2011 Hospital Outpatient/ASC Payment System, Physician Fee Schedule and Home Health Payment System

- Sep 27, 2010 | AHA letter to FTC, CMS, HHS regarding ACOs
- Sep 09, 2010 | Ask Your Legislators to Co-Sponsor Health IT Bills

- Aug 31, 2010 | AHA Comments to CMS Re: OPPS, ASC, GME, costs and Physician Self-Referral Proposed Rule for 2011
- Aug 11, 2010 | August Recess an Opportunity to Ask Your Legislators for Relief from CMS 'Coding Offset'

Highlighted Resources
