Medicare

Recommendations, Impact Data, and Opportunity for Member Input Hospitals repeatedly have expressed concern that the Medicare Area Wage Index (AWI) is greatly flawed in many respects. Members of Congress, Medicare officials and other policymakers also have voiced concerns with the present system.
AHA friend-of-the-court brief supporting the Colorado governor's decision to opt out of Medicares physician supervision requirement for certified registered nurse anesthetists to improve access to care for rural residents.
On Nov. 1, the Centers for Medicare & Medicaid Services released the outpatient prospective payment system (OPPS) and ambulatory surgical center final rule for calendar year 2012.
A summary of CMS's physician fee schedule final rule for CY 2012 with changes to the Medicare and other Medicare Part B payment policies.
This Regulatory Advisory highlights CMS's proposed rule to revise the existing Medicare and Medicaid Conditions of Participation (CoPs) for hospitals and critical access hospitals.
Final Rule: Medicare Hospital Outpatient Prospective Payment And Ambulatory Surgical Center Payment Systems for CY 2012 Summary
In the August 18 Federal Register, CMS published its fiscal year (FY) 2012 final rule for the inpatient prospective payment system (PPS) and long-term care hospital (LTCH) PPS. This advisory covers the LTCH provisions in the final rule regulation...
Medicare Shared Savings Program Powerpoint Presentation
On October 20, the Centers for Medicare & Medicaid Services (CMS) released the much-anticipated final regulation for the Medicare Shared Savings Program (MSSP), which encourages the voluntary formation of accountable care organizations (ACOs).
On October 20, CMS released a final regulation (ACO rule) governing the creation of accountable care organizations (ACOs) under the Medicare Shared Savings Program (ACO program). This rule is described in detail in a companion regulatory advisory.