Hospital Outpatient Department (HOPD) Costs Higher than Physician Offices Due to Additional Capabilities, Regulations

Americans rely heavily on hospitals to provide 24/7 access to care for all types of patients, to serve as a safety net provider for vulnerable populations and to have the resources and skills needed to respond to disasters.

These roles are not explicitly funded; instead they are built into a hospital’s overall cost structure and supported by revenues received from providing direct patient care.

Other care sites don’t share these roles or bear these costs, yet some policymakers want to make total payment for a service provided in a hospital the same as when a service is provided in a physician office.

Related Resources

Special Bulletin
Public
The Department of Health and Human Services (HHS) today announced significant changes to the process for hospitals to fulfill the agency’s request for daily…
Other Resources
Social workers have been providing care and services to vulnerable populations with limited resources and tools for decades. Navigating…
Other Resources
Front-line health care workers at Dartmouth-Hitchcock Health based in Lebanon, New Hampshire, learned that older adults and people with…
Letter/Comment
Public
On behalf of our member physicians, nurses, hospitals and health systems, the American Hospital Association (AHA) and the American Medical Association (AMA)…
Case Studies
Public
UR Medicine Thompson Health | Canandaigua, N.Y. - UR Medicine Thompson Health, a nonprofit health care system which provides care for 165,000…
Letter/Comment
Public
On behalf of America’s tax-exempt hospitals and health systems, the AHA, AAMC, CHA request an immediate extension of the deadlines many face for preparing…