Regulations and Regulatory Advocacy
The Administration today released a final rule requiring hospitals to disclose payer-specific negotiated rates, along with a proposed rule that would impose new requirements on private insurers in the individual and group markets to publicly disclose negotiated rates and out-of-network allowed…
We’re proposing that CMS standardize prior authorization requirements and processes and increase its oversight of the health plans the agency regulates, including Medicare Advantage plans.
The American Hospital Association (AHA), Association of American Medical Colleges (AAMC), Children’s Hospital Association (CHA) and Federation of American Hospitals (FAH) issued the following joint statement on today’s final rule from CMS: Today’s rule mandating the public disclosure of privately…
The Centers for Medicare & Medicaid Services Nov. 12 released a comprehensive proposed rule addressing Medicaid fiscal accountability.
The AHA, Association of American Medical Colleges and several member hospitals intend to immediately request that the U.S. District Court for the District of Columbia enforce its September ruling vacating a CMS rule reducing payments for hospital outpatient services provided in off-campus provider-…
AHA letter to CMS regarding their attention to improving health plan prior authorization processes through appropriate standardization.
A federal judge in New York today voided the Department of Health and Human Services’ 2019 final rule concerning certain statutory conscience rights in health care on lack of statutory authority and constitutional grounds.
The Centers for Medicare & Medicaid Services late today issued a final rule that increases Medicare hospital outpatient prospective payment system rates.
The Centers for Medicare & Medicaid Services today released its home health prospective payment system final rule with comment period for calendar year 2020.
The Centers for Medicare & Medicaid Services will host a Nov. 14 call for clinical diagnostic laboratories, including hospital outreach laboratories, on reporting data for the Clinical Diagnostic Test Payment System in 2020.