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CMS releases update on OPPS prior authorization beginning July 1
The Centers for Medicare & Medicaid Services has identified the Healthcare Common Procedure Coding System billing codes for hospital outpatient services that will require prior authorization starting July 1 under the hospital outpatient prospective payment system final rule for calendar year 2020.
AHA's HCC creates partnerships, resources and better care
During the yearlong Hospital Community Cooperative pilot program, 10 hospital and community organization teams achieved 300 sustainable community health improvement outputs and promoted health equity. Learn more about the HCC’s initial success as the program grows in 2020.
AHA comments on transparency in coverage proposed rule
The AHA urged the administration to abandon a proposal that would require health plans to publicly release all of their negotiated rates, saying the policy would “lead to widespread confusion among patients, even greater consolidation in the commercial health insurance industry and other negative consequences for providers and consumers.”
Court vacates certain HIPAA health record access requirements
A federal court voided certain provisions in a 2013 rule modifying the HIPAA privacy, security and enforcement rules under the Health Information Technology for Economic and Clinical Health Act and Genetic Information Nondiscrimination Act.
Study looks at geographic variance in social determinants of health
A study reported in JAMA Network Open looks at geographic variation in social determinants of health in the continental U.S. and found that four indices accounted for 71% of the variance in 2014.
Preventing Physician Suicide: Center for WorkLife Wellbeing
Statistics on physician suicide and burnout served as the impetus for ChristianaCare in Newark, Del., to create the Ce
Rural Hospital Offers Flexibility to Recruit Physicians
In this AHA Advancing Health podcast, Elisa Arespacochaga, vice president of the AHA Physician Alliance, talks with Benjamin Anderson, former CEO of Kearny County Hospital in Lakin, Kan., about how his hospital took a chance on an unorthodox approach to recruit physicians, including offering four-day work weeks and limited on-call commitment.
AHA Comments to CMS on the Transparency in Coverage Proposed Rule
AHA comments to CMS on the transparency in coverage proposed rule. The AHA appreciates the Departments of the Treasury, Labor, and Health and Human Services’ (collectively, the departments) effort to increase the availability of useful information for patients, specifically, the proposal to improve patient access to estimates of their individual cost-sharing liability prior to care.
America’s hospitals and health systems have the right to expect more from FTC
AHA General Counsel Melinda Hatton writes that recent suggestions by FTC officials that the agency intends to challenge every hospital merger in the pipeline and antipathy toward Certificates of Public Advantage are troubling on a number of levels.