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WASHINGTON — There are few things that get lawmakers in Washington salivating more than a wonky policy that saves the federal government a whole lot of money.

As debate in the Capitol rages about the future of the Medicare program, hospitals are worried that lawmakers could finally be considering a change they hate — so-called site neutral payment policy. It’s somewhat of a unicorn on Capitol Hill — it saves the federal government tens of billions of dollars, reduces patient costs, and it’s gained bipartisan support over the years.

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The policy would ensure Medicare pays the same price for the same medical services, regardless of whether they are provided at a hospital or at a physician’s office. If Congress aggressively pursued the policy, it could save the federal government more than $100 billion, by one recent estimate. It could also help reduce incentives that encourage consolidation, experts say.

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