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Advocacy Issue: Site-Neutral Payment Proposals
Hospitals and their associated facilities provide access to critical services that are not otherwise always available in the community and they treat patients with very severe conditions. Payment proposals that attempt to treat hospital outpatient departments the same as independent physician offices and other ambulatory sites of care ignore the very different level of care provided by hospitals and the needs of the patients and communities cared for in that setting.
Advocacy Issue: Rural LVA and MDH Programs
Rural hospitals receive additional support from Medicare to help address potential financial challenges associated with being rural, geographically isolated and low volume. These programs are Low-volume Adjustment (LVA), Medicare-dependent Hospitals (MDHs) and Sole Community Hospitals (SCHs).
Leaders at Coalition-sponsored event discuss issues challenging rural health care access
Health care leaders and other officials Sept.
Advocacy Issue: Presumptive Eligibility
This fact sheet provides hospitals and health systems with an overview of key considerations for implementing presumptive eligibility for charity care. The AHA encourages all members to consider whether some form of presumptive eligibility for charity care makes sense for their organization.
Rural Health Services
Over 57 million rural Americans depend on their hospital as an important source of care as well as a critical component of their area's economic and social fabric. Location, size, workforce, payment and access to capital challenge small or rural hospitals and the communities they serve. Collaborating with state and regional hospital associations and with advice from its member council, the Section tracks the issues, develops policies and identifies solutions to our most pressing problems.
Hospital Outpatient Departments Are Different from Independent Physician Offices
Current Medicare payment rates recognize the fundamental differences between patient care delivered in hospital outpatient departments compared to other settings. Any expansion of so-called site-neutral payment cuts will result in limiting or eliminating critical hospital-based care, increased wait times for services and reduced access to care for all patients.
AHA Letter Supporting the Ensuring Access to Essential Providers Act of 2025
On behalf of our nearly 5,000 member hospitals, health systems and other health care organizations, our clinician partners — including more than 270,000 affiliated physicians, 2 million nurses and other caregivers — and the 43,000 health care leaders who belong to our professional membership groups, the American Hospital Association (AHA) is pleased to support your legislation, the Ensuring Access to Essential Providers Act of 2025.
Rural Education
The American Hospital Association has a wealth of media and educational resources available to rural hospitals and health systems. Here you will find the latest podcasts, webinars, toolkits, and more.
340B Advocacy Alliance Bulletin - July 29, 2025
Register for Aug. 1 AHA Site-neutral Advocacy Alliance Call.
AHA 340B Advocacy Alliance Newsletter
The Department of Health and Human Services today issued a notice announcing a 340B Rebate Model Pilot Program as a voluntary mechanism for qualifying drug manufacturers to effectuate the 340B ceiling price on select drugs to all 340B covered entities.