Medicare

A series of recent developments in Congress are adding significant urgency to AHA’s fight against site-neutral payment and other policies that would irreparably damage hospitals’ abilities to care for their communities, including a move to use rate setting that would offer commercial insurers a…
We write to endorse the Value in Health Care Act of 2023. This bipartisan legislation makes several important reforms to ensure that alternative payment models (APMs) continue to produce high quality care for the Medicare program and its beneficiaries.
The American Hospital Association would like to provide feedback on sections of H.R. 4822, the “Health Care Price Transparency Act of 2023,” as well as H.R. 3284, the “Providers and Payers COMPETE Act.”
The Centers for Medicare & Medicaid Services (CMS) July 17 issued updated regulatory guidance regarding requirements for hospitals to assess patients and hospital environments for risks of patient harm. The guidance will influence how surveyors evaluate hospital compliance with Medicare…
Congress is considering several pieces of legislation that would impose billions of dollars in additional Medicare payment cuts for services provided by hospital outpatient departments (HOPDs).
Proposals to reduce Medicare payment rates for hospital outpatient departments by aligning them with payment rates for independent physician offices and ambulatory surgery centers are based on the false assumption that Medicare overpays hospitals for outpatient services, when in fact hospitals…
Medicare will cover new Alzheimer’s drugs that receive traditional approval from the Food and Drug Administration when a beneficiary is diagnosed with mild cognitive impairment or Alzheimer’s disease dementia and has a physician participating in a registry with an appropriate clinical team and…
The Centers for Medicare and Medicare Services will host a June 27 webinar on its Review Choice Demonstration for Inpatient Rehabilitation Services, which will begin Aug. 21 in Alabama and expand to additional states at an undetermined date.
In a letter submitted to the House Energy and Commerce Subcommittee on Oversight and Investigations for a hearing on challenges implementing value-based and alternative payment models under the Medicare Access and CHIP Reauthorization Act of 2015, AHA encouraged certain statutory and regulatory…