Medicare

Hospitals participating in the first two years of the Comprehensive Care for Joint Replacement model reduced Medicare spending for hip- and knee- replacement episodes by an average 3.1 percent more than hospitals not participating in the program, without an increase in complication rates.
Medicare and Medicaid underpaid U.S. hospitals by $76.8 billion in 2017, according to the latest data from the AHA's Annual Survey of Hospitals.
As required by a judge's ruling in a lawsuit brought by the AHA and its member hospital plaintiffs, the Department of Health and Human Services recently provided an update on its progress reducing the backlog of Medicare appeals at the Administrative Law Judge level.
The Centers for Medicare & Medicaid Services Dec. 21 issued a rule, called “Pathways to Success”, that finalizes changes to the Medicare Shared Savings Program, including to the structure of payments made to accountable care organizations and other aspects of participation in the MSSP.
The Centers for Medicare & Medicaid Services today issued a rule finalizing changes to the Medicare Shared Savings Program, including to the structure of payments made to accountable care organizations and other aspects of participation in the MSSP.
AHA comments on the Centers for Medicare & Medicaid Services (CMS) proposed rule that would set forth policy changes for the 2020 and 2021 Medicare Advantage (MA) plan years.
The AHA, Federation of American Hospitals, and Association of American Medical Colleges today urged the U.S. Supreme Court to affirm a D.C. Circuit Court decision that the Department of Health and Human Services violated the Medicare Act when it changed Medicare’s reimbursement adjustment formula…
A recent Department of Health and Human Services Office of Inspector General audit report on 2013 inpatient rehabilitation facility stays “is a prime example” of the AHA’s ongoing concerns with OIG audit reports targeting potential Medicare overpayments to hospitals.
AHA expresses concerns about the recent Department of Health and Human Services OIG audit report.
This AHA resource highlights how best to use the Centers for Medicare & Medicaid Services’ Mapping Medicare Disparities tool.