Medicare
On July 6, CMS released the calendar year (CY) 2017 outpatient prospective payment system (OPPS)/ambulatory surgical center (ASC) proposed rule. In addition to standard updates to the OPPS and ASC payment systems, the rule proposes to implement the site-neutral provisions of Section 603 of the…
Starting in fiscal year 2018, the Centers for Medicare & Medicaid Services proposes to no longer use the results from three pain management questions in the Hospital Consumer Assessment of Healthcare Providers and Systems survey in determining hospitals’ value-based purchasing program scores,…
The Department of Health and Human Services late June 28, issued a proposed rule that would make changes to the procedures for Administrative Law Judge (ALJ) appeals of payment and coverage determinations for items and services provided to Medicare beneficiaries, in addition to other Medicare…
Reducing Medicare reimbursement to critical access hospitals would have “a significant and detrimental impact” not only on these hospitals, but on their patients and communities, AHA told the Centers for Medicare & Medicaid Services today.
Medicare accountable care organizations are associated with modest reductions in spending and use of hospitals and emergency departments, according to a study published this week by JAMA Internal Medicine. The study compared changes in spending and usage for beneficiaries cared for by ACO…
Dear colleague letter to CMS urging waiver of regulatory barriers.
These are model comments to guide AHA members in crafting their own comments to CMS CMS-5517-P, Medicare Program; Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive Under the Physician Fee Schedule, and Criteria for Physician Focused Payment Models. All…
On April 27, CMS published a proposed rule implementing key provisions of the new quality payment program for physicians and other professionals mandated by the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015. Use AHA's model comment letter to assist you in submitting your comments.