Regulations and Regulatory Advocacy
The AHA voiced support for many of the policies proposed in the Centers for Medicare & Medicaid Services’ Notice of Benefit and Payment Parameters for 2023, including clarifications to the Medical Loss Ratio calculations, reestablishment of standardized health plan option requirements, changes…
At the outset of the COVID-19 pandemic, the Centers for Medicare & Medicaid Services (CMS) quickly moved to waive a number of regulatory requirements. These waivers provided hospitals and health systems with critical flexibilities to manage what has been a prolonged and unpredictable pandemic.
In response to an AHA request for clarification, the Centers for Medicare & Medicaid Services released more information to clarify how its recently updated guidance on hospital co-location with other hospitals or health care facilities might apply to critical access hospitals and physician…
The Office of the National Coordinator for Health Information Technology (ONC) Jan. 21 issued a request for information (RFI) regarding prior authorization standards,
The Centers for Medicare & Medicaid Services (CMS) yesterday released proposed regulations for the 2023 Medicare Advantage (MA) and Part D plan year.
The Centers for Medicare & Medicaid Services (CMS) Dec. 17 issued a final rule with comment period related to certain policies for the fiscal year (FY) 2022 inpatient prospective payment system (IPPS).
The SUNSET rule set expiration dates for the vast majority of HHS regulations unless certain conditions are met. Specifically, the department must conduct a review of most of its regulations at certain intervals and then determine whether they should retain, modify, or eliminate the regulation.
The AHA voiced strong support for the Department of Health and Human Services’ proposal to withdraw a rule finalized last year that requires the agency to periodically assess each regulation and determine whether to retain, modify or eliminate it.
Effective Jan. 1, 2022, facilities and providers will need to adhere to several new policies required by the No Surprises Act. Specifically, facilities and providers will not be permitted to balance bill patients in certain out-of-network scenarios unless certain conditions are met, they must…
Beginning Jan. 1, 2022, facilities and providers must notify patients of their rights with respect to their balance billing protections under the No Surprises Act. Facilities and providers also must provide oral and written notice to uninsured and self-pay patients of their right to a good faith…