Advisory

On Dec. 27, 2020, the No Surprises Act was signed into law as part of the Consolidated Appropriations Act of 2021 (H.R. 133; Division BB – Private Health Insurance and Public Health Provisions).
To help advance the public’s confidence and trust in the safety of COVID-19 vaccines and their distribution, the AHA continues to develop and collate resources that hospitals and health systems can use as COVID-19 vaccines become available in their communities.
The hospital price transparency rule takes effect Jan. 1, 2021, requiring hospitals and health systems to disclose all standard charges, as defined by the Centers for Medicare & Medicaid Services (CMS) to mean privately negotiated rates with insurers, gross charges (a.k.a., “list prices”) and…
The Centers for Medicare & Medicaid Services (CMS) Dec. 1 issued a final rule that updates physician fee schedule (PFS) payments for calendar year (CY) 2021. The rule also adopts several policies to implement year five of the quality payment program (QPP) created by the Medicare Access and CHIP…
The Centers for Medicare & Medicaid Services Dec. 2 issued its calendar year (CY) 2021 outpatient prospective payment system (OPPS)/ambulatory surgical center (ASC) final rule. In addition to standard updates, the rule maintains previous payment cuts for certain drugs purchased under the 340B…
Summary of two final rules from the Centers for Medicare & Medicaid Services (CMS) and the Department of Health and Human Services Office of Inspector General (OIG) that will modernize and make important changes to physician self-referral (Stark law) and federal Anti-kickback statute (AKS)…
At Issue On Nov. 4, the Centers for Medicare & Medicaid Services (CMS) issued its calendar year (CY) 2021 final rule for the home health (HH) prospective payment system (PPS). The final rule takes effect Jan. 1, 2021.
The Centers for Medicare & Medicaid Services (CMS) Oct. 28 announced an interim final rule establishing additional Medicare hospital payment to support Medicare beneficiaries’ access to COVID-19 vaccines and new treatments when they become available.
Issue The Centers for Medicare & Medicaid Services’ (CMS) hospital price transparency final rule, issued Nov. 14, 2019, will require hospitals to provide an out-of-pocket price estimator tool or information on 300 “shoppable” services for patients as well as disclose their privately…
This advisory pulls together resources and strategies for creating care capacity, keeping people save, ensuring safe transport, keeping information safe, monitoring social media and mitigating community shutdowns