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Report finds Medicare premiums are higher due to MA overpayments
The Joint Economic Committee March 10 released a report that found Medicare Part B premiums rose last year due to Medicare Advantage overpayments.
CMS finalizes CY 2026 Medicare Advantage, Part D rates
The Centers for Medicare & Medicaid Services April 7 released finalized payment rates for calendar year 2026 Medicare Advantage and Part D plans.
Fact Sheet: Rural Hospital Support Act (S. 335) and the Assistance for Rural Community Hospitals Act (H.R.1805)
Medicare pays most acute care hospitals under the inpatient prospective payment system (IPPS). Some of these 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).
CMS announces actions addressing fraud
The Centers for Medicare & Medicaid Services Feb. 25 released a request for information on potential regulatory changes in a possible future proposed rule called Comprehensive Regulations to Uncover Suspicious Healthcare, or CRUSH.
CMS announces library of digital health apps for Medicare beneficiaries
The Centers for Medicare & Medicaid Services Feb. 23 announced the development of its Medicare App Library. As part of the agency’s Health Technology Ecosystem framework, the library will provide a directory for Medicare beneficiaries to access an array of patent-facing digital health tools integrated with CMS Aligned Networks.
CBO projects Hospital Insurance Trust Fund to be solvent until 2040
The Congressional Budget Office has projected that the Hospital Insurance Trust Fund will have sufficient funds to pay full benefits until 2040 — 12 years earlier than last year’s projection.
Health Plan Accountability Update: October 2025
The AHA May 29 submitted a letter to the Centers for Medicare & Medicaid Services responding to a request for information regarding Medicare Advantage data, urging CMS to increase oversight of the program.
AHA Submits Comments on CMS Proposed Rule on Prohibiting 'Sex-Rejecting Procedures' for Children
The AHA today submitted a comment letter responding to the Centers for Medicare & Medicaid Services’ proposed rule that would prohibit hospitals participating in the Medicare and Medicaid programs from performing “sex-rejecting procedures” on individuals under 18 years of age.
Fact Sheet: Underpayment by Medicare and Medicaid
Each year, the American Hospital Association (AHA) collects aggregate information on the payments and costs associated with care delivered to beneficiaries of Medicare and Medicaid by U.S. hospitals.
Fact Sheet: AHA Urges Congress to Call on CMS to Stop Cuts to Hospitals
America’s hospitals and health systems continue to face unprecedented financial pressures due to the ongoing effects of the COVID-19 pandemic and current inflationary economy. Historic inflation has extended and heightened the already severe economic instability brought on by the pandemic resulting in razor thin operating margins from massive surges in input costs, including a struggling workforce, drug costs, supplies and equipment.