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Fact Sheet: Improving Access to Care for Medicare Advantage Beneficiaries
The AHA urges Congress to pass legislation to improve the oversight of MA plans and the ability of CMS to enforce existing regulations that are intended to ensure appropriate beneficiary access to medically necessary services. Additionally, congressional action is needed to specifically prohibit MA plans from using medical necessity criteria that is more restrictive than the criteria used for patients enrolled in traditional Medicare.
AHA urges Congress to prioritize behavioral health workforce, access needs in end-of-year package
AHA today urged Congress to take certain steps to strengthen the behavioral health workforce, reduce regulatory burdens for psychiatric facilities, and revise arbitrary and outdated payment policies that undervalue behavioral health services.
AHA urges DEA to release regulation for prescribing controlled substances via telehealth after COVID-19 public health emergency
AHA today urged the Drug Enforcement Administration to release its proposed rules outlining a special registration process for prescribing medically necessary controlled substances via telehealth a
AHA Urges MedPAC to Consider the Current Financial Challenges Faced by Hospitals and Health Systems
The American Hospital Association (AHA) appreciates the Medicare Payment Advisory Commission’s (MedPAC) continued discussions on its safety-net proposal, payment alignment across ambulatory settings and payments to primary care clinicians. As the Commission continues its deliberations, we would like to share our thoughts, suggestions and concerns related to these issues.
Case study: Inside Mount Sinai’s Equity of Care Award-winning work
Learn how New York’s Mount Sinai Health System took on the task of addressing its community’s health inequities while managing the myriad challenges brought on by the COVID-19 pandemic, an effort that captured AHA's 2022 Equity of Care Award.
AHA to CMS: National directory proposal would increase burden without benefit
AHA today urged the Centers for Medicare & Medicaid Services not to establish a national directory of health care providers and services (NDH) at this time.
CMS seeks comments on ACA essential health benefits
The Centers for Medicare & Medicaid Services seeks public input on topics related to essential health benefits — items and services that all non-grandfathered health plans in the individual and small group markets must cover under the Affordable Care Act
HHS: COVID-19 monoclonal antibody no longer authorized for use in U.S.
The Food and Drug Administration does not currently authorize the monoclonal antibody bamlanivimab for emergency use to treat mild-to-moderate COVID-19 in the United States because it is not expected to neutralize the predominating BQ.1 and BQ.1.1. omicron subvariants.
AHA urges MedPAC to recommend adjusting FY 2024 market basket update
As the Medicare Payment Advisory Commission considers Medicare payment adequacy, AHA today encouraged the panel to recommend adding a one-time retrospective adjustment to the fiscal year 2024 market basket updates to help hospitals and health systems remain financially viable.
AHA Letter to CMS on Establishment of a National Directory of Health Care Providers and Services (NDH)
The AHA shares CMS’ goals to improve patient access to provider information and to facilitate health information exchange and data reporting. However, we are concerned that adding one more provider directory requirement will not support patients in accessing the information they need about their care providers.