Payer Site-of-Care Redirection Programs and Revenue Impact
Payer rules now dictate both where infusions happen and how practices get paid for them.
Mei-Lin Tsou
Section
4 stories in Site-of-Care Finance.
Payer rules now dictate both where infusions happen and how practices get paid for them.
Facility fees widen the reimbursement gap between hospitals and freestanding infusion centers.
Profitability depends on drug margin, billing accuracy, and payer management—not just filling seats.
Hospital outpatient sites earn 340B spreads while independent centers absorb full drug costs.