By NextBestFitTask 1.8.7 of 7
Create an out-of-region payment rule: hospitals receive fee-schedule payment for patients from outside their region (e.g., referrals to academic centers).
Who does it
Rates Board
When
Month 12
Trade-off
Fee-schedule payment for out-of-region patients preserves referral centers but lets prestigious hospitals draw patients from local ones.
Part of: Set hospital global budgets
Each hospital gets an annual operating budget covering all UHP patients, negotiated with its regional office. In aggregate, hospital spending goes from $1.63T to $1.62T (price effect −$69.9B, utilization +$51.5B).
This step changes 7 existing laws, programs, or institutions. See the list.