Medicare
The Centers for Medicare & Medicaid Services released a request for applications to participate in the Part D Payment Modernization Model in calendar year 2022.
Only 132 of the 334 off-campus provider-based hospital outpatient departments that requested a “mid-build” exception for Medicare to continue to pay them under the outpatient prospective payment system qualified for the exception, the Centers for Medicare & Medicaid Services announced.
The Centers for Medicare & Medicaid Services Jan. 15 released two planning tools to help states return to regular Medicaid and Children’s Health Insurance Program operations after the COVID-19 public health emergency ends, when many flexibilities and waivers granted to states for the emergency…
The Centers for Medicare & Medicaid Services issued a final rule that seeks to streamline prior authorization processes implemented by health plans serving the Medicaid, Children’s Health Insurance Program and federal Health Insurance Marketplace.
The Centers for Medicare & Medicaid Services finalized its proposal to codify how it defines “reasonable and necessary” coverage for items and services furnished under Medicare Parts A and B.
The Medicare Payment Advisory Commission (MedPAC, or the Commission) will vote this month on payment recommendations for 2022.
At A Glance
Health plans often inappropriately delay or decline coverage for medically necessary care. This can undermine the quality of care that is provided, strain the provider/patient relationship, result in bad debt for providers and unexpected bills for patients, and increase the burden on…
AHA comments on the Centers for Medicare & Medicaid Services’ proposed changes to the hospital and hospital health care complex cost report.
At a Glance
House and Senate leaders late yesterday announced an agreement on a roughly $900 billion COVID-19 relief package that includes a number of provisions beneficial to hospitals and health systems. They also agreed on a roughly $1.4 trillion spending package that would fund the federal…
The Centers for Medicare & Medicaid Services announced that it is extending the third quarter 2020 data submission deadlines for several of its quality reporting and value programs for hospitals, post-acute care and other providers.