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Why are some rural Medicare patients paying more than patients at bigger hospitals?

The Green Mountain Care Board aims to close a Medicare pricing gap causing rural patients to pay up to five times more out-of-pocket for outpatient services than urban counterparts.

In November, a public comment sent a Green Mountain Care Board analyst on a curious quest: Why were some Medicare recipients paying more out of pocket for outpatient services at rural, “critical access hospitals” than they’d have paid for the same service at the state’s bigger, “acute care hospitals

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Associated Press News broke the news in United States on Wednesday, March 11, 2026.
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