Medicare
President Trump signed an executive order on a number of health care issues, including protecting people with pre-existing medical conditions from insurance discrimination and ending surprise medical billing.
The Department of Health and Human Services through Sept. 24 has reduced by 52.8% its backlog of Medicare appeals at the Administrative Law Judge level, according to a status report the agency provided today to a federal court.
The AHA responded to a RAND Corporation study that found certain prices paid to hospitals by private health plans are high relative to Medicare. The study examined hospital prices for a limited number of employers and health plans from 2016 to 2018.
It is unfortunate that RAND continues to make broad claims about pricing based on a cherry-picked and limited data set.
In a new AHA blog, Aaron Wesolowski, AHA’s vice president of policy research, analytics and strategy, sets the record straight about false narratives portraying hospitals and health systems as uniquely responsible for increased health care prices, and using these narratives in attempts to deny…
An all-too-common activity among some researchers is cherry picking data to support pre-conceived arguments. One of these false narratives is that hospitals and health systems are uniquely responsible for increased health care prices. But an examination of comprehensive data tell a different story…
Accountable care organizations in the Medicare Shared Savings Program generated $1.19 billion in total net savings to Medicare in 2019, the third and largest annual savings for the program to date, Centers for Medicare & Medicaid Services Administrator Seema Verma announced.
The Centers for Medicare & Medicaid Services (CMS) Sept. 2 issued its hospital inpatient prospective payment system (PPS) and long-term care hospital (LTCH) PPS final rule for fiscal year (FY) 2021.
As urged by the AHA, the Centers for Medicare & Medicaid Services (CMS) recently issued guidance stating that COVID-19 Provider Relief Fund (PRF) payments and Small Business Administration (SBA) Paycheck Protection Program loan forgiveness funds should not be recorded as offsets to expenses on…
Please log in to the website to see the talking points on CMS’s Interim Final Rule on Data Collection and Medicare Conditions of Participation.