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CMS urged not to implement proposed prior authorization attachment standard
The AHA July 27 joined AHIP, the American Medical Association, and Blue Cross Blue Shield Association in urging the Centers for Medicare & Medicaid Services not to implement its proposed HIPAA prior authorization standards for claims attachments due to conflicting regulatory proposals, which “would create the very same costly burdens” that administrative simplification seeks to alleviate.
CMS Releases FY 2024 Skilled Nursing Facility PPS Final Rule
The Centers for Medicare & Medicaid Services (CMS) July 31 issued its fiscal year (FY) 2024 final rule for the skilled nursing facility (SNF) prospective payment system (PPS).
Fact Sheet: Sen. Sanders Bill Would Reduce Funding for Patient Care, Add Burden on Health Care Providers
The AHA strongly opposes policies to decrease hospital reimbursements by eliminating “facility fees,” which are the direct and indirect costs that allow a hospital to continue to provide services to patients and serve the needs of their community.
AHA blog: What do Break-even Hospital Margins Mean for Patient Care?
“Some analyses seem to suggest that anything above a zero percent margin is inherently bad, as though the operating goal of hospitals and health systems should be to incur financial losses,” write AHA’s Bharath Krishnamurthy, director of policy and health analytics, and Benjamin Finder, director of policy research and analysis.
UnitedHealthcare identifies procedures no longer subject to prior authorization
UnitedHealthcare Aug. 1 published a list of procedures no longer subject to prior authorization effective either Sept. 1 or Nov. 1, 2023.
FTC urged to extend comment period for draft merger guidelines
The AHA Aug. 1 joined the U.S. Chamber of Commerce and other organizations in urging the Federal Trade Commission to extend for at least 60 days the comment period for their draft guidance revising how they review mergers and acquisitions to determine compliance with federal antitrust laws.
FTC Urged to Extend Comment Period for Draft Merger Guidelines
The AHA joins the U.S. Chamber of Commerce and other organizations in urging the Federal Trade Commission to extend for at least 60 days the comment period for their draft guidance revising how they review mergers and acquisitions to determine compliance with federal antitrust laws.
Amicus Brief: Southern Baptist Hospital of Florida, Inc. Vs Jean Charles Jr. Guardian Marie Charles Et Al
Amicus Brief: Southern Baptist Hospital of Florida, Inc. Vs Jean Charles Jr. Guardian, Marie Charles Et Al
Margin Misconceptions: What do Break-even Hospital Margins Mean for Patient Care?
Given the historic financial pressures borne by hospitals and health systems over the last eighteen months, there is tremendous focus on organizations’ margins. Simply put, this metric tells us how an organization’s costs compare to their revenues and is one, but not the only, indicator of a hospital or health system’s financial health.
H-ISAC TLP Green Ransomware Data Leak Sites Report - July 21, 2023
A daily ransomware tracker as TLP:GREEN for purposes of increasing ransomware threat awareness.